Top

Published in:

01-08-2005 | Interventional Neuroradiology

Time-of-flight magnetic resonance angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils

Authors: H. E. Westerlaan, A. M. van der Vliet, J. M. Hew, L. C. Meiners, J. D. M. Metzemaekers, J. J. A. Mooij, M. Oudkerk

Published in: Neuroradiology | Issue 8/2005

Abstract

The purpose of this study was to evaluate time-of-flight magnetic resonance angiography (MRA) in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils (GDCs). From January 1998 to January 2002 27 MRA and intra-arterial digital subtraction angiography (IADSA) examinations were analyzed for residual aneurysms and arterial patency following GDC placement. A total number of 33 intracranial aneurysms was analyzed, including 18 located in the posterior circulation. The MRA analysis was based on source images in combination with maximum intensity projections. The IADSA was used as the reference standard. Two aneurysms were excluded from evaluation, because of susceptibility artefacts from other aneurysms, which were clipped. Sensitivity and positive predictive values of MRA in revealing residual aneurysms were, respectively, 89% and 80%. Specificity in ruling out remnant necks and residual flow around coils was, respectively, 91% and 97%, with a negative predictive value of, respectively, 95% and 100%. Specificity and negative predictive value of MRA for arterial occlusion were, respectively, 87% and 100% for the parent arteries and, respectively, 85% and 100% for the adjacent arteries. MRA is a reliable diagnostic tool in the follow-up of GDC treatment, and it may replace IADSA in excluding residual flow around coils and aneurysmal necks and in ruling out arterial occlusion.

Guglielmi G, Vinuela F, Dion J, Duckwiler G (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: preliminary clinical experience. J Neurosurg 75:8–14PubMed

Guglielmi G, Vinuela F, Sepetka I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7PubMed

Mullan S (1974) Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41:657–670PubMed

Mullan S, Reyes C, Dawley J (1969) Stereotactic copper electric thrombosis of intracranial aneurysms. Prog Neurol Surg 3:193–211

Byrne JV, Adams CB, Kerr RS, Molyneux AJ (1995) Endosaccular treatment of inoperable intracranial aneurysms with platinum coils. Br J Neurosurg 9:585–592CrossRefPubMed

Casasco AE, Aymard A, Gobin YP, Houdart E, Rogopoulos A, George B, Hodes JE, Cophignon J, Merland JJ (1993) Selective endovascular treatment of 71 intracranial aneurysms with platinum coils. J Neurosurg 79:3–10PubMed

Guglielmi G, Vinuela F, Duckwiler G, Dion J, Lylyk P, Berenstein A, Strother C, Graves V, Halbach V, Nichols D (1992) Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils. J Neurosurg 77:515–524PubMed

Gurian JH, Vinuela F, Guglielmi G, Gobin YP, Duckwiler GR (1996) Endovascular embolization of superior hypophyseal artery aneurysms. Neurosurgery 39:1150–1156CrossRefPubMed

Massoud TF, Guglielmi G, Vinuela F, Duckwiller GR (1996) Endovascular treatment of multiple aneurysms involving the posterior intracranial circulation. AJNR Am J Neuroradiol 17:549–555PubMed

10.

McDougall CG, Halbach VV, Dowd CF, Higashida RT, Larsen DW, Hieshima GB (1996) Endovascular treatment of basilar tip aneurysms using electrolytically detachable coils. J Neurosurg 84:393–399PubMed

11.

Rowe JG, Molyneux AJ, Byrne JV, Renowden S, Aziz TZ (1996) Endovascular treatment of intracranial aneurysms: a minimally invasive approach with advantages for elderly patients. Age Ageing 25:372–376PubMed

12.

Tateshima S, Murayama Y, Gobin YP, Duckwiler GR, Guglielmi G, Vinuela F (2000) Endovascular treatment of basilar tip aneurysms using Guglielmi detachable coils: anatomic and clinical outcomes in 73 patients from a single institution. Neurosurgery 47:1332–1342

13.

Byrne JV, Molyneux AJ, Brennan RP, Renowden SA (1995) Embolisation of recently ruptured intracranial aneurysms. J Neurol Neurosurg Psychiatry 59:616–620PubMed

14.

Graves VB, Strother CM, Duff TA, Perl J 2nd (1995) Early treatment of ruptured aneurysms with Guglielmi detachable coils: effects on subsequent bleeding. Neurosurgery 37:640–648PubMed

15.

Matsubara S, Satoh K, Satomi J, Miyamoto T, Uno M, Nagahiro S (2001) Guglielmi detachable coil embolization for ruptured lower-midbasilar trunk aneurysms—a report of five cases. Neuroradiology 43:884–890CrossRefPubMed

16.

Vinuela F, Duckwiler G, Mawad M (1997) Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86:475–482PubMed

17.

Byrne JV, Sohn MJ, Molyneux AJ, Chir B (1999) Five-year experience in using coil embolization for ruptured intracranial aneurysms: outcomes and incidence of late rebleeding. J Neurosurg 90:656–663PubMed

18.

Cognard C, Weill A, Spelle L, Piotin M, Castaings L, Rey A, Moret J (1999) Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils. Radiology 212:348–356

19.

Hodgson TJ, Carroll T, Jellinek DA (1998) Subarachnoid hemorrhage due to late recurrence of a previously unruptured aneurysm after complete endovascular occlusion. AJNR Am J Neuroradiol 19:1939–1941PubMed

20.

Hope JKA, Burne JV, Molyneux AJ (1999) Factors influencing successful angiographic occlusion of aneurysms treated by coil embolization. AJNR Am J Neuroradiol 20:391–399PubMed

21.

Malisch TW, Guglielmi G, Vinuela F, Duckwiler G, Gobin YP, Martin NA, Frazee JGl (1997) Intracranial aneurysms treated with the Guglielmi detachable coil: midterm clinical results in a consecutive series of 100 patients. J Neurosurg 87:176–183PubMed

22.

Lin T, Fox AJ, Drake CG (1989) Regrowth of aneurysm sacs from residual neck following aneurysm clipping. J Neurosurg 70:556–560PubMed

23.

Todd NC (1990) Aneurysm rebleeding after treatments that leave the aneurysm sac patent. Review article. Br J Neurosurg 4:373–379

24.

Adams WM, Laitt RD, Jackson A (2000) The role of MR angiography in the pretreatment assessment of intracranial aneurysms: a comparative study. Am J Neuroradiol 21:1618–1628

25.

Atlas SW, Sheppard L, Goldberg HI, Hurst RW, Listerud J, Flamm E (1997) Intracranial aneurysms: detection and characterization with MR angiography with use of an advanced postprocessing technique in a blinded-reader study. Radiology 203:807–814

26.

Horikoshi T, Fukamachi A, Nishi H, Fukasawa I (1994) Detection of intracranial aneurysms by three-dimensional time-of-flight magnetic resonance angiography. Neuroradiology 36:203–207CrossRefPubMed

27.

Huston J 3rd, Nichols DA, Luetmer PH, Goodwin JT, Meyer FB, Wiebers DO, Weaver AL (1994) Blinded prospective evaluation of sensitivity of MR angiography to known intracranial aneurysms: importance of aneurysm size. AJNR Am J Neuroradiol 15:1607–1614PubMed

28.

Korogi Y, Takahashi M, Mabuchi N, Miki H, Fujiwara S, Horikawa Y, Nakagawa T, O’Uchi T, Watabe T, Shiga H (1994) Intracranial aneurysms: diagnostic accuracy of three-dimensional, Fourier transform, time-of-flight MR angiography. Radiology 193:181–186

29.

Korogi Y, Takahashi M, Mabuchi N, Nakagawa T, Fujiwara S, Horikawa Y, Miki H, O’Uchi T, Shiga H, Shiokawa Y, Watabe T, Furuse M (1996) Intracranial aneurysms: diagnostic accuracy of MR Angiography with evaluation of maximum intensity projection and source images. Radiology 199:199–207

30.

Ross JS, Masaryk TJ, Modic MT, Ruggieri PM, Haacke EM, Selman WR (1990) Intracranial aneurysms: evaluation by MR angiography. AJNR Am J Neuroradiol 155:159–165

31.

Schuierer G, Huk WJ, Laub G (1992) Magnetic resonance angiography of intracranial aneurysms: comparison with intra-arterial digital subtraction angiography. Neuroradiology 35:50–54CrossRefPubMed

32.

Stock KW, Radue EW, Jacob AL, Bao XS, Steinbrich W (1995) Intracranial arteries: retrospective blinded comparative study of MR angiography and DSA in 50 patients. Radiology 195:451–456

33.

Grzyska U, Freitag J, Zeumer H (1990) Selective cerebral intra-arterial DSA. Complication rate and control of risk factors. Neuroradiology 32:296–299CrossRefPubMed

34.

Heiserman JE, Dean BL, Hodak JA (1994) Neurologic complications of cerebral angiography. AJNR Am J Neuroradiol 15:1401–1407PubMed

35.

Leffers AM, Wagner A (2000) Neurologic complications of cerebral angiography. A retrospective study of complication rate and patient risk factors. Acta Radiol 41:204–210CrossRefPubMed

36.

Warnock NG, Gandhi MR, Bergvall U, Powell T (1993) Complications of intra-arterial digital subtraction angiography in patients investigated for cerebral vascular disease. Br J Radiol 66:855–858PubMed

37.

Waugh JR, Sacharias N (1992) Arteriographic complications in the DSA era. Radiology 182:243–246PubMed

38.

Shellock FG, Detrick MS, Brant-Zawadski MN (1997) MR compatibility of Guglielmi detachable coils. Radiology 203:568–570

39.

Anzalone N, Righi C, Simionato F, Scomazzoni F, Pagani G, Calori G, Santino P, Scotti G (2000) Three-dimensional time-of-flight MR angiography in the evaluation of intracranial aneurysms treated with Guglielmi detachable coils. AJNR Am J Neuroradiol 21:746–752PubMed

40.

Boulin AB, Pierot L (2001) Follow-up of intracranial aneurysms treated with detachable coils: comparison of gadolinium-enhanced 3D time-of-flight MR angiography and digital subtraction angiography. Radiology 219:108–113PubMed

41.

Brunereau L, Cottier JP, Sonier CB, Medioni B, Bertrand P, Rouleau P, Sirinelli D, Herbreteau D (1999) Prospective evaluation of time-of-flight MR angiography in the follow-up of intracranial saccular aneurysms treated with Guglielmi detachable coils. J Comput Assist Tomogr 23:216–223CrossRefPubMed

42.

Derdeyn CP, Graves VB, Turski PA, Masaryk AM, Strother CM (1997) MR angiography of saccular aneurysms after treatment with Guglielmi detachable coils: preliminary experience. AJNR Am J Neuroradiol 18:279–286PubMed

43.

Kähära VJ, Seppanen SK, Ryymin PS, Mattila P, Kuurne T, Laasonen EM (1999) MR angiography with three-dimensional time-of-flight and targeted maximum-intensity-projection reconstructions in the follow-up of intracranial aneurysms embolized with Guglielmi detachable coils. AJNR Am J Neurorad 20:1470–1475PubMed

44.

Weber W, Yousry TA, Felber SR, Henkes H, Nahser HC, Roer N, Kuhne D (2001) Noninvasive follow-up of GDC-treated saccular aneurysms by MR angiography. Eur Radiol 11:1792–1797CrossRefPubMed

45.

Roy D, Milot G, Raymond J (2001) Endovascular treatment of unruptured aneurysms. Stroke 32:1998–2004PubMed

Title: Time-of-flight magnetic resonance angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils
Authors: H. E. Westerlaan
A. M. van der Vliet
J. M. Hew
L. C. Meiners
J. D. M. Metzemaekers
J. J. A. Mooij
M. Oudkerk
Publication date: 01-08-2005
Publisher: Springer-Verlag
Published in: Neuroradiology / Issue 8/2005
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-005-1395-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Time-of-flight magnetic resonance angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2005

Spinal cord and cauda equina MRI findings in metachromatic leukodystrophy: case report

MRI and 2D-CSI MR spectroscopy of the brain in the evaluation of patients with acute onset of neuropsychiatric systemic lupus erythematosus

Brain MR diffusion tensor imaging and fibre tracking to differentiate between two diffuse axonal injuries

Edema in the retropharyngeal space associated with head and neck tumors: CT imaging characteristics

Posterior reversible encephalopathy syndrome: a possible late interaction between cytotoxic agents and general anaesthesia

Contrast-enhanced FLAIR in the early diagnosis of infectious meningitis