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USAGE OF MODERN METHODS OF NEURO VISUALIZATION AND THREE-DIMENSIONAL NAVIGATION DURING NEURO ENDOVASCULAR INTERVENTIONS

Gegenava B.B.

M.F.Vladimirsiy Moscow Regional Research and Clinical Institute (MONIKI). Moscow, Russia.

 

Treatment of vascular brain diseases - intracranial aneurysm (IA) and arteriovenous malformations (AVMs) - has an important medical and social value.

Purpose. To evaluate the opportunities and advantages of endovascular treatment of intracranial aneurysms (IA) and arteriovenous malformations (AVM) using three-dimensional navigation (3D-roadmapping).

Materials and methods. During 2010-2013 years 103 embolizations of IA and AVM in 88 patients were performed in our angiography department. 3D-roadmapping technique was applied for guidance of endovascular tools in cerebral arteries and catheterization the IA cavity and  AVM-feeding arteries during the procedure.

Results. Endovascular interventions with 3D-roadmapping were performed in 65 (63%) cases. Complex algorithm of diagnosis and endovascular treatment of IA and AVM using 3D-roadmapping was introduced.

Conclusion. Our experience of endovascular embolization of IA and AVM with 3D-roadmapping convincingly showed that usage of this technique is possible and effective. In comparison with two-dimensional navigation there was a tendency in reduction of the effective exposure dose, also there was a statistically significant decrease of amount of contrast material, and of time for superselective catheterization of AVM-feeding arteries and IA cavity.

Keywords: 3D-roadmapping, intracranial aneurysms, arteriovenous malformations, embolization.

 

Corresponding author: Gegenava B.B., Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Gegenava B.B. Usage of modern methods of neuro visualization and three-dimensional navigation during neuro endovascular interventions. REJR. 2016; 6 (3):30-37. DOI:10.21569/2222-7415-2016-6-3-30-37.

 


Received: 27.05.2016 Accepted: 10.06.2016