OBJECT: The purpose of this study was to evaluate the authors' initial experience with the integration of high-resolution rotational and biplanar angiography during neurovascular operative procedures. METHODS: Eight patients with intracerebral arteriovenous malformations (AVMs) and aneurysms underwent surgical treatment of their lesions in a combined endovascular surgical suite. After initial head positioning, preoperative biplane and rotational angiography was performed. Resection of the AVM or clipping of the aneurysm was then performed. Further biplane and rotational 3D angiograms were obtained intraoperatively to confirm satisfactory treatment. RESULTS: One small residual AVM identified intraoperatively necessitated further resection. One aneurysm was clipped during endovascular inflation of an intracarotid balloon for temporary proximal control. The completeness of treatment was confirmed on intraoperative 3D rotational angiography in all cases, and there were no procedure-related complications. CONCLUSIONS: Intraoperative rotational angiography performed in an integrated biplane angiography/surgery suite is a safe and useful adjunct to surgery and may enable combining endovascular and surgical procedures for the treatment of complex vascular lesions.
OBJECT: The purpose of this study was to evaluate the authors' initial experience with the integration of high-resolution rotational and biplanar angiography during neurovascular operative procedures. METHODS: Eight patients with intracerebral arteriovenous malformations (AVMs) and aneurysms underwent surgical treatment of their lesions in a combined endovascular surgical suite. After initial head positioning, preoperative biplane and rotational angiography was performed. Resection of the AVM or clipping of the aneurysm was then performed. Further biplane and rotational 3D angiograms were obtained intraoperatively to confirm satisfactory treatment. RESULTS: One small residual AVM identified intraoperatively necessitated further resection. One aneurysm was clipped during endovascular inflation of an intracarotid balloon for temporary proximal control. The completeness of treatment was confirmed on intraoperative 3D rotational angiography in all cases, and there were no procedure-related complications. CONCLUSIONS: Intraoperative rotational angiography performed in an integrated biplane angiography/surgery suite is a safe and useful adjunct to surgery and may enable combining endovascular and surgical procedures for the treatment of complex vascular lesions.
Authors: Philipp Dammann; Tobias Breyer; Karsten H Wrede; Klaus-Peter Stein; Isabel Wanke; Astrid E Grams; Elke R Gizewski; Marc Schlamann; Michael Forsting; I Erol Sandalcioglu; Ulrich Sure Journal: Ther Adv Neurol Disord Date: 2014-01 Impact factor: 6.570
Authors: M-N Psychogios; D Wachter; A Mohr; P Schramm; A-M Frölich; K Jung; V Rohde; M Knauth Journal: AJNR Am J Neuroradiol Date: 2011-08-18 Impact factor: 3.825
Authors: Jun Thorsteinsdottir; Torleif Sandner; Annamaria Biczok; Robert Forbrig; Sebastian Siller; Patricia Bernasconi; Andrea Szelényi; Thomas Liebig; Jörg-Christian Tonn; Christian Schichor Journal: Acta Neurochir (Wien) Date: 2021-10-13 Impact factor: 2.216