Usefulness of Contrast-Enhanced Magnetic Resonance Angiography for Follow-Up of Coil Embolization With the Enterprise Stent for Cerebral Aneurysms

Department of Radiology and Interventional Neuroradiology, Ishinkai Yao General Hospital, Osaka, Japan.
Journal of computer assisted tomography (Impact Factor: 1.38). 09/2011; 35(5):568-72. DOI: 10.1097/RCT.0b013e31822bd498
Source: PubMed

ABSTRACT The aim of this study was to determine the feasibility and usefulness of contrast-enhanced magnetic resonance angiography (CE-MRA) and 3-dimensional (3D) time-of-flight (TOF) MRA for follow-up of intracranial aneurysms treated using the Enterprise stent.
Five aneurysm cases using the Enterprise stent were prospectively analyzed and were followed up with CE-MRA, 3D TOF MRA, and digital subtraction angiography (DSA). Depictions of parent artery lumen and the aneurysm neck with 3D TOF MRA and CE-MRA were compared with those of DSA.
In all cases, on 3D TOF MRA, it was difficult to evaluate the parent artery lumen and aneurysm neck owing to the significant artifacts from the stent. Contrast-enhanced MRA sufficiently demonstrated parent artery lumen and aneurysm neck distinctly and as clear as DSA did in all cases.
For follow-up after coiling with an Enterprise stent, CE-MRA may be necessary to avoid susceptibility artifacts caused by the stent.

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