Ensayo Pictórico: Control imagenológico de aneurismas tratados ¿Qué examen elegir?

Abstract

Treatment of intracranial ruptured and unruptured aneurysms can be performed with surgical (vascular clips) or endovascular procedures (coils, stents, flow diverters). There are several devices and techniques for endovascular treatment. Knowledge of this techniques allows physicians to choose and interpret accurately imaging modalities for non-invasive follow-up. Through a pictorial essay of imaging follow-up of treated intracranial aneurysms we show the differences in characterization with computed tomography angiography, magnetic resonance angiography without contrast (time of flight or "TOF" technique), contrast enhanced MR angiography (C+) and digital subtraction angiography (DSA). Additionally we recommend imaging modalities for each treatment device.

Rapid Growth Progression of an Intracranial Internal Carotid Artery Aneurysm in a Patient with Multiple Inflammatory/Autoimmune Diseases Treated with a Flow Diverter

“…The mechanism of action of FD can be divided into three stages: hemodynamic, thrombus formation, and endothelialization [7]. Imaging follow-up is relevant due to the risk of recanalization, growth of the aneurysm, rupture, re-rupture, or the appearance of new aneurysms [8].…”