Comparison of Computerized Tomographic Angiography (CTA) and Digital Subtraction Angiography (DSA) in patients with subarachnoid hemorrhage: A retrospective analysis

Comparison of Computerized Tomographic Angiography (CTA) and Digital Subtraction Angiography (DSA) in patients with subarachnoid hemorrhage: A retrospective analysis

Aim: Aneurysmal subarachnoid hemorrhage (SAH) is one of the most complex conditions encountered in neurosurgery clinics. Itis aimed to compare Computerized Tomographic Angiography (CTA) and Digital Subtraction Angiography (DSA) techniques fordetecting aneurysms of anterior communicating artery (AcomA) and middle cerebral artery (MCA) in the present study.Materials and Methods: The medical files of 20 patients with aneurysmal SAH who had both CTA and DSA scans were included inthe study. Raw data of tomographic images was re-created as 3D reconstructions by using computer.Results: Mean age of the patients was 55.5 years (min-max: 27-82 years). Nine of the patients were male (45%) and 11 were female(55%). Mostly, the results obtained by CTA imaging were confirmed by DSA. No significant differences were detected between CTAand DSA methods regarding to dome area and size of aneurysms of both AcomA and MCA (p>0.05).Conclusion: Both methods can be implemented in clinical settings for detecting SAK.

___

  • 1. Rouanet C, Silva GS. Aneurysmal subarachnoid hemorrhage: current concepts and updates. Arq Neuropsiquiatr 2019;77:806-14.
  • 2. Rabinstein AA, Lanzino G. Aneurysmal Subarachnoid Hemorrhage: Unanswered Questions. Neurosurg Clin N Am 2018;29:255-62.
  • 3. Lazzaro MA, Ouyang B, Chen M. The role of circle of Willis anomalies in cerebral aneurysm rupture. J Neurointerv Surg 2012;4:22-6.
  • 4. Hakimi R, Garg A. Imaging of Hemorrhagic Stroke. Continuum (Minneap Minn). 2016;22:24-1450.
  • 5. Dehdashti AR, Rufenacht DA, Delavelle J, et al. Therapeutic decision and management of aneurysmal subarachnoid haemorrhage based on computed tomographic angiography. Br J Neurosurg 2003;17:46-53.
  • 6. Fernandez Zubillaga A, Guglielmi G, Viñuela F, et al. Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. AJNR Am J Neuroradiol 1994;15:815-20.
  • 7. Anderson GB, Steinke DE, Petruk KC, et al. Computed tomographic angiography versus digital subtraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms. Neurosurgery 1999;45:1315-22.
  • 8. Boet R, Poon WS, Lam JM, et al. The surgical treatment of intracranial aneurysms based on computer tomographic angiography alone—streamlining the acute management of symptomatic aneurysms. Acta Neurochir (Wien) 2003;145:101-5.
  • 9. Heros RC, Morcos JJ. Cerebrovascular surgery: past, present, and future. Neurosurgery 2000;47:1007-33.
  • 10. White PM, Wardlaw JM, Easton V. Can noninvasive imaging accurately depict intracranial aneurysms? A systematic review. Radiology 2000;217:361-70.
  • 11. Jayaraman MV, Mayo-Smith WW, Tung GA, et al. Detection of intracranial aneurysms: multi-detect or row CT angiography compared with DSA. Radiology 2004;230:510-8.
  • 12. Karamessini MT, Kagadis GC, Petsas T, et al. CT angiography with three-dimensional techniques for the early diagnosis of intracranial aneurysms. Comparison with intra-arterial DSA and the surgical findings. Eur J Radiol 2004;49:212-23.
  • 13. Thaker NG, Turner JD, Cobb WS, et al. Computed tomographic angiography versus digital subtraction angiography for the postoperative detection of residual aneurysms: a single-institution series and meta-analysis. J Neurointerv Surg 2012;4:219-25.
  • 14. Leffers AM, Wagner A. Neurologic complications of cerebral angiography. A retrospective study of complication rate and patient risk factors. Acta Radiol 2000;41:204–10.
  • 15. Choudhri O, Schoen M, Mantha A, et al. Increased risk for complications following diagnostic cerebral angiography in older patients: trends from the Nationwide Inpatient Sample (1999-2009). J Clin Neurosci 2016;32:109-14.
  • 16. González-Darder JM, Pesudo-Martínez JV, FeliuTatay RA. Microsurgical management of cerebralaneurysms based in CT angiography with threedimensional reconstruction (3D-CTA) and without preoperative cerebral angiography. Acta Neurochir (Wien) 2001;143:673-9.
  • 17. Anderson GB, Findlay JM, Steinke DE, et al. Experience with computed tomographic angiography for the detection of intracranial aneurysms in the setting of acute subarachnoid hemorrhage. Neurosurgery 1997;41:522-8.
  • 18. Velthuis BK, Van Leeuwen MS, Witkamp TD, et al. Computerized tomography angiography in patients with subarachnoid hemorrhage: from aneurysm detection to treatment without conventional angiography. J Neurosurg 1999;91:761-7.
  • 19. Anderson GB, Steinke DE, Petruk KC, et al. Computed tomographic angiography versus digital subtraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms. Neurosurgery 1999;45:1315-22.
  • 20. Uysal E, Yanbuloglu B, Erturk M, et al. Spiral CT angiography in diagnosis of cerebral aneurysms of cases with acute subarachnoid hemorrhage. Diagn Interv Radiol 2005;11:77-82.
  • 21. Shrier DA, Tanaka H, Numaguchi Y, et al. CT angiography in the evaluation of acute stroke. AJNR Am J Neuroradiol 1997;18:1011-20. 22.
  • 22. Anderson GB, Findlay JM, Steinke DE, et al. Experience with computed tomographic angiography for the detection of intracranial aneurysms in the setting of acute subarachnoid hemorrhage.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Relationship between positive peritoneal fluid cytology and the type of the malignancy in patients with malignancy related ascites

Sevim TURANLI, Ayşegül ÖKSÜZOĞLU

Venom immunotherapy: A real-life experience in a tertiary referral center in Turkey.

Fatma Esra GÜNAYDIN, Ümmühan ŞEKER, Dane EDİGER, Müge ERBAY

Divergent prevalence of Warthin tumor in Africa and Asia: A consequence of variation in smoking index?

Jude Ogechukwu OKOYE

Is diffusion-weighted magnetic resonance imaging (DW-MRI) a requirement for suspected cholesteatoma in patients to undergo primary surgery?

Mehmet Fatih ERBAY, Mehmet TAN, Tuba BAYINDIR, Mehmet Turan ÇİÇEK, Ebru ÖZER

Comparison of translucency and flexural strength of fiberreinforced composite resin materials

Nurcan ÖZAKAR İLDAY, Özcan KARATAŞ, Rabia BİLGİÇ, Pınar GÜL

Endocan and Interleukin-6 Levels in Individuals with polycystic ovary syndrome and periodontal inflammation: A prospective cross-sectional stud

Hümeyra ÇANAKÇI, Cenk Fatih ÇANAKÇI, Ebru SAĞLAM, Ayşe TORAMAN, Metin İNGEÇ, Engin SEBİN

Rupture of testicle accompanying multiple traumas: A case report

Hasan GÖKÇE, Şükrü GÜRBÜZ, Serdar DERYA, Muhammed EKMEKYAPAR, Muhammed Gökhan TURTAY, Ömer Faruk SOLGUN

Dynamic thiol-disulfide balance in patients with chronic sinusitis with and without nasal polyposis

Cemile BİÇER, Fatih GÜL, Sami BERCİN, Ergun SEVİL, Salim NEŞELİOĞLU, Tolga OĞUZHAN

Which method for the laparoscopic repair of inguinal hernia?; TAPP versus TEP

Remzi AKTÜRK, Serdar SERİNSÖZ

Preoperative anxiety in children undergoing elective circumcision: A cross-sectional study in a training and research hospital

İbrahim KARABULUT, Ali KARAYAĞMURLU, Muhammet Emin NALDAN