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R. Bechan, W. Rooij, J. Peluso, M. Sluzewski (2016)
Yield of Repeat 3D Angiography in Patients with Aneurysmal-Type Subarachnoid HemorrhageAmerican Journal of Neuroradiology, 37
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ORIGINALRESEARCH INTERVENTIONAL Current Hospital Demographics of Subarachnoid Hemorrhage Based on CT Angiography and 3D Rotational Angiography in a Neurosurgical Center X S.B.T. van Rooij, X R.S. Bechan, X W.J. van Rooij, and X M.E. Sprengers ABSTRACT BACKGROUND AND PURPOSE: Aneurysmal subarachnoid hemorrhage is an important cause of mortality and morbidity. Modern hos- pital demographics are scarce. We evaluated the diagnosis and treatment of patients with SAH in a neurosurgical referral center. MATERIALSANDMETHODS: Between March 2013 and April 2015, two hundred eighty-four patients with SAH diagnosed on CT or lumbar puncture were admitted. All patients underwent 64– to 128–detector row CT angiography. Additional imaging was with 3D rotational angiography of all vessels. In patients with aneurysms, characteristics and mode of treatment were recorded. RESULTS: In 197 of 220 patients with an aneurysmal bleeding pattern, we found a cause of the bleeding: One hundred ninety-five patients had a ruptured aneurysm (98%); 1 patient, a micro-AVM; and 1 patient, reversible vasoconstriction syndrome. Of 195 ruptured aneurysms, 6 were dissecting aneurysms and 3 were AVM-associated flow aneurysms. In 23 of 204 patients (11%) with an aneurysmal bleeding pattern and 3D rotational angiography performed, no cause was found. In 8 of 9 patients (89%)
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Jun 1, 2019
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