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Vasospasm After Subarachnoid Hemorrhage: A 3D Rotational Angiography Study

  • Conference paper
Early Brain Injury or Cerebral Vasospasm

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 110/2))

Abstract

Background and Purpose: The purpose of this study was to investigate the clinical value of 3D rotational angiography (3DRA) for evaluation of cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage (SAH) by comparison with 2D digital subtraction angiography (DSA).

Methods: Forty-six patients who had undergone 2D DSA and 3DRA for evaluation of cerebral vasospasm following SAH were retrospectively analyzed. 3DRA was routinely performed after standard 2D DSA. 3D volume rendering images were created from 3DRA dataset and compared with DSA for the detection and characterization of vasospasm.

Results: Of the 46 patients investigated, 25 had vasospasm on 2D DSA images. No vasospasm was observed in 21 patients with aneurysmal SAH. According to the reference standard of DSA, 46 spastic segments were found in 25 patients with vasospasms. A total of 51 spastic segments were found on 3DRA volume rendering angiograms. The sensitivity, specificity, positive and negative predictive values of 3DRA for detecting vasospasm were 100, 76, 90, 100%, respectively.

Conclusion: The pseudo-spasm phenomenon was frequently observed on 3DRA volume rendering images. 3DRA was less useful than 2D DSA for evaluation of vasospasm after SAH.

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Acknowledgement

This work was supported by a grant from National Basic Research Program of China (973 Program No. 2009CB918300).

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Authors and Affiliations

  1. Department of Neurology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China

    Guo-En Yao, Qi Li, John Zhang & Peng Xie

  2. Institute of Neuroscience, Chongqing Medical University, Chongqing, China

    Guo-En Yao, Qi Li, Li-Li Zhang, Lei-Lei Li & Peng Xie

  3. Department of Neurology, Daping Hospital, The Third Military Medical University, Chongqing, China

    Guo-En Yao, Xiao-Jiang Jiang & Juan Liu

  4. Department of Medicine, Chongqing Medical and Pharmaceutical College, Chongqing, China

    Jia-Lun Li

  5. Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, CA, USA

    John Zhang

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  1. Guo-En Yao
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  2. Qi Li
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  4. Juan Liu
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  7. Lei-Lei Li
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  8. John Zhang
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  9. Peng Xie
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Gaotanyan 30, Chongqing, 400038, China

    Hua Feng

  2. Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China

    Ying Mao

  3. Departments of Physiology and Neurosurgery, Loma Linda University School of Medicine, Risley Hall, Room 223, 92354, Loma Linda, California, USA

    John H. Zhang

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Yao, GE. et al. (2011). Vasospasm After Subarachnoid Hemorrhage: A 3D Rotational Angiography Study. In: Feng, H., Mao, Y., Zhang, J.H. (eds) Early Brain Injury or Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 110/2. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0356-2_40

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  • DOI: https://doi.org/10.1007/978-3-7091-0356-2_40

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0355-5

  • Online ISBN: 978-3-7091-0356-2

  • eBook Packages: MedicineMedicine (R0)

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