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Features of CT-angiography and 2D- and 3D- reconstructions for preoperative planning at patients with intracranial aneurysms

Abstract

Objective: to describe the features of 2D and 3D reconstruction modelling based on CT-angiography at patients with intracranial aneurysms in preoperative period.

Material and methods: we analyzed data of CT-angiography of patients with complex cerebral aneurysms performed from 2014 till  2017 to estimate the features of their reconstruction. CT- angiography was performed in routine way and in extended volume including visualization of extracranial parts of brachiocephalic arteries.

Results: anatomical features of skull base and intracranial arteries must be taken into account during reconstructions based on CT-angiography data at patients with unruptured cerebral aneurysms. Obtained results must both provide accurate information about  aneurysm and optimize the planning of surgical intervention  including surgical approach and volume of operation.

Conclusion: 2D- and 3D-reconstructions are the obligatory during CT-angiography of intracranial arteries at patients with unruptured  aneurysms for the preoperative planning taking into account the  possible type of surgical intervention.

About the Authors

E. V. Grigor’eva
Федеральное государственное образовательное Учреждение высшего образования МГМСУ им. А.И. Евдокимова, Клинический медицинский центр Лечебно-диагностический центр «Патеро клиник»
Russian Federation


N. A. Polunina
Федеральное государственное образовательное Учреждение высшего образования МГМСУ им. А.И. Евдокимова, Клинический медицинский центр Государственное бюджетное учреждение здравоохранения г. Москвы “Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского Департамента здравоохранения города Москвы”
Russian Federation


V. A. Luk’yanchikov
Государственное бюджетное учреждение здравоохранения г. Москвы “Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского Департамента здравоохранения города Москвы”
Russian Federation


V. V. Krylov
Федеральное государственное образовательное Учреждение высшего образования МГМСУ им. А.И. Евдокимова, Клинический медицинский центр Государственное бюджетное учреждение здравоохранения г. Москвы “Научно-исследовательский институт скорой помощи имени Н.В. Склифосовского Департамента здравоохранения города Москвы”
Russian Federation


References

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3. Nakhabin O.Yu., Luk’yanchikov V.A., Polunina N.A., Krylov V.V. The Technique of Extra-Intracranial High-Flow Bypass Performance for Treatment of Patients with Giant Carotid Aneurysms. Russian Journal of Neurosurgery. 2012. No4. P. 57-65 (in Russian)

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5. Lukyanchikov V.A., Kalandari A.A., Dalibaldyan V.A., Shestov E.V., Nakhabin O.Yu., Polunina N.A., Tokarev A.S., Senko I.V., Grigoryeva E.V., Khamidova L.T., Poroshina I.V. The performance of extracranial-intracranial bypass using the frameless neuronavigation system. Russian journal of neurosurgery. 2014. 2.P. 66-72 (in Russian)

6. Ferrari F. Wall motion at 4D-CT angiography and surgical correlation in unruptured intracranial aneurysms: a pilot study / F. Ferrari, L. Cirillo, F. Calbucci, F. Bartiromo, P. Ambrosetto, A. Fioravanti, M. Leonardi / J Neurosurg Sci. — 2016. — May 18


Review

For citations:


Grigor’eva E.V., Polunina N.A., Luk’yanchikov V.A., Krylov V.V. Features of CT-angiography and 2D- and 3D- reconstructions for preoperative planning at patients with intracranial aneurysms. Russian journal of neurosurgery. 2017;(3):88-95. (In Russ.)

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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