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Neuroradiologie Scan 2024; 14(01): 59-82
DOI: 10.1055/a-2165-1822
CME-Fortbildung

Bildgebende Darstellung intrakranieller Aneurysmen nach endovaskulärer Therapie

Charlotte Y. Chung
,
Ryan B. Peterson
,
Brian M. Howard
,
Brian M. Howard
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Der vermehrte Einsatz und die verbesserte Qualität der Neurobildgebung haben dazu geführt, dass nicht rupturierte intrakranielle Aneurysmen präziser entdeckt werden können. Diese werden immer häufiger endovaskulär behandelt. Radiologen sollten daher mit der bildgebenden Darstellung gängiger Behandlungs-Devices und den bildgebenden Befunden nach der Therapie vertraut sein.

Schlüsselwörter

Intrakranielle Aneurysmen - endovaskuläre Therapie - Bildgebung - Komplikationen


Publication History

Article published online:
05 January 2024

© 2024. The Radiological Society of North America. All rights reserved. Originally published in English in RadioGraphics 2022; 42 (3). Online published in 10.1148/rg.210131. Translated and reprinted with permission of RSNA. RSNA is not responsible for any inaccuracy or error arising from the translation from English to German.

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  • Literatur

  • 1 Salem MM, Maragkos GA, Gomez-Paz S. et al. Trends of ruptured and unruptured aneurysms treatment in the United States in post-ISAT era: a national inpatient sample analysis. J Am Heart Assoc 2021; 10: e016998
    CrossrefPubMedSearch in Google Scholar
  • 2 Howard BM, Hu R, Barrow JW. et al. Comprehensive review of imaging of intracranial aneurysms and angiographically negative subarachnoid hemorrhage. Neurosurg Focus 2019; 47: E20
    CrossrefPubMedSearch in Google Scholar
  • 3 Spetzler RF, McDougall CG, Zabramski JM. et al. Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial. J Neurosurg 2019; 132: 771-776
    CrossrefPubMedSearch in Google Scholar
  • 4 van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet 2007; 369: 306-318
    CrossrefPubMedSearch in Google Scholar
  • 5 Greving JP, Wermer MJH, Brown Jr RD. et al. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol 2014; 13: 59-66
    CrossrefPubMedSearch in Google Scholar
  • 6 Wiebers DO, Whisnant JP, Huston 3rd J. et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003; 362: 103-110
    CrossrefPubMedSearch in Google Scholar
  • 7 Lindgren A, Vergouwen MD, van der Schaaf I. et al. Endovascular coiling versus neurosurgical clipping for people with aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev 2018; 8: CD003085
    CrossrefPubMedSearch in Google Scholar
  • 8 Molyneux AJ, Kerr RS, Yu LM. et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005; 366: 809-817
    CrossrefPubMedSearch in Google Scholar
  • 9 Molyneux AJ, Birks J, Clarke A. et al. The durability of endovascular coiling versus neurosurgical clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the International Subarachnoid Aneurysm Trial (ISAT). Lancet 2015; 385: 691-697
    CrossrefPubMedSearch in Google Scholar
  • 10 McDougall CG, Spetzler RF, Zabramski JM. et al. The Barrow Ruptured Aneurysm Trial. J Neurosurg 2012; 116: 135-144
    CrossrefPubMedSearch in Google Scholar
  • 11 Khatri GD, Sarikaya B, Cross NM. et al. The role of imaging in the management of non-traumatic subarachnoid hemorrhage: a practical review. Emerg Radiol 2021; 28: 797-808
    CrossrefPubMedSearch in Google Scholar
  • 12 Villablanca JP, Rodriguez FJ, Stockman T. et al. MDCT angiography for detection and quantification of small intracranial arteries: comparison with conventional catheter angiography. AJR Am J Roentgenol 2007; 188: 593-602
    CrossrefPubMedSearch in Google Scholar
  • 13 Nelson SE, Sair HI, Stevens RD. Magnetic resonance imaging in aneurysmal subarachnoid hemorrhage: current evidence and future directions. Neurocrit Care 2018; 29: 241-252
    CrossrefPubMedSearch in Google Scholar
  • 14 Kapsalaki EZ, Rountas CD, Fountas KN. The role of 3 tesla MRA in the detection of intracranial aneurysms. Int J Vasc Med 2012; 2012: 792834
    CrossrefPubMedSearch in Google Scholar
  • 15 Boddu SR, Tong FC, Dehkharghani S. et al. Contrast-enhanced time-resolved MRA for follow-up of intracranial aneurysms treated with the pipeline embolization device. AJNR Am J Neuroradiol 2014; 35: 2112-2118
    CrossrefPubMedSearch in Google Scholar
  • 16 Lv N, Karmonik C, Chen S. et al. Relationship between aneurysm wall enhancement in vessel wall magnetic resonance imaging and rupture risk of unruptured intracranial aneurysms. Neurosurgery 2019; 84: E385-E391
    CrossrefPubMedSearch in Google Scholar
  • 17 Samaniego EA, Roa JA, Hasan D. Vessel wall imaging in intracranial aneurysms. J Neurointerv Surg 2019; 11: 1105-1112
    CrossrefPubMedSearch in Google Scholar
  • 18 Hartman JB, Watase H, Sun J. et al. Intracranial aneurysms at higher clinical risk for rupture demonstrate increased wall enhancement and thinning on multicontrast 3D vessel wall MRI. Br J Radiol 2019; 92: 20180950
    CrossrefPubMedSearch in Google Scholar
  • 19 Matsushige T, Shimonaga K, Ishii D. et al. Vessel wall imaging of evolving unruptured intracranial aneurysms. Stroke 2019; 50: 1891-1894
    CrossrefPubMedSearch in Google Scholar
  • 20 Texakalidis P, Hilditch CA, Lehman V. et al. Vessel wall imaging of intracranial aneurysms: systematic review and meta-analysis. World Neurosurg 2018; 117: 453.e1-458.e1
    CrossrefPubMedSearch in Google Scholar
  • 21 Santarosa C, Cord B, Koo A. et al. Vessel wall magnetic resonance imaging in intracranial aneurysms: principles and emerging clinical applications. Interv Neuroradiol 2020; 26: 135-146
    CrossrefPubMedSearch in Google Scholar
  • 22 Meyers PM, Schumacher HC, Higashida RT. et al. Reporting standards for endovascular repair of saccular intracranial cerebral aneurysms. Stroke 2009; 40: e366-e379
    CrossrefPubMedSearch in Google Scholar
  • 23 Tang G, Cawley CM, Dion JE. et al. Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy. J Neurosurg 2002; 96: 993-999
    CrossrefPubMedSearch in Google Scholar
  • 24 Kallmes DF, Hanel R, Lopes D. et al. International retrospective study of the pipeline embolization device: a multicenter aneurysm treatment study. AJNR Am J Neuroradiol 2015; 36: 108-115
    CrossrefPubMedSearch in Google Scholar
  • 25 Mokin M, Chinea A, Primiani CT. et al. Treatment of blood blister aneurysms of the internal carotid artery with flow diversion. J Neurointerv Surg 2018; 10: 1074-1078
    CrossrefPubMedSearch in Google Scholar
  • 26 Brinjikji W, Murad MH, Lanzino G. et al. Endovascular treatment of intracranial aneurysms with flow diverters: a meta-analysis. Stroke 2013; 44: 442-447
    CrossrefPubMedSearch in Google Scholar
  • 27 Becske T, Brinjikji W, Potts MB. et al. Long-term clinical and angiographic outcomes following pipeline embolization device treatment of complex internal carotid artery aneurysms: five-year results of the Pipeline for Uncoilable or Failed Aneurysms Trial. Neurosurgery 2017; 80: 40-48
    CrossrefPubMedSearch in Google Scholar
  • 28 Becske T, Kallmes DF, Saatci I. et al. Pipeline for uncoilable or failed aneurysms: results from a multicenter clinical trial. Radiology 2013; 267: 858-868
    CrossrefPubMedSearch in Google Scholar
  • 29 Bonney PA, Connor M, Fujii T. et al. Failure of flow diverter therapy: predictors and management strategies. Neurosurgery 2020; 86 (Suppl. 01) S64-S73
    CrossrefPubMedSearch in Google Scholar
  • 30 Goyal N, Hoit D, DiNitto J. et al. How to WEB: a practical review of methodology for the use of the Woven EndoBridge. J Neurointerv Surg 2020; 12: 512-520
    CrossrefPubMedSearch in Google Scholar
  • 31 Zhang SM, Liu LX, Ren PW. et al. Effectiveness, safety and risk factors of Woven EndoBridge Device in the treatment of wide-neck intracranial aneurysms: systematic review and meta-analysis. World Neurosurg 2020; 136: e1-e23
    CrossrefPubMedSearch in Google Scholar
  • 32 Fujimoto M, Lylyk I, Bleise C. et al. Long-term outcomes of the WEB Device for treatment of wide-neck bifurcation aneurysms. AJNR Am J Neuroradiol 2020; 41: 1031-1036
    CrossrefPubMedSearch in Google Scholar
  • 33 Thompson BG, Brown Jr RD, Amin-Hanjani S. et al. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association / American Stroke Association. Stroke 2015; 46: 2368-2400
    CrossrefPubMedSearch in Google Scholar
  • 34 Al-Mufti F, Cohen ER, Amuluru K. et al. Bailout strategies and complications associated with the use of flow-diverting stents for treating intracranial aneurysms. Intervent Neurol 2020; 8: 38-54
    CrossrefPubMedSearch in Google Scholar
  • 35 Kühn AL, Rodrigues KM, Wakhloo AK. et al. Endovascular techniques for achievement of better flow diverter wall apposition. Interv Neuroradiol 2019; 25: 344-347
    CrossrefPubMedSearch in Google Scholar
  • 36 Ding D, Liu KC. Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms. J Neurointerv Surg 2014; 6: 428-431
    CrossrefPubMedSearch in Google Scholar
  • 37 Gao BL, Li MH, Wang YL. et al. Delayed coil migration from a small wide-necked aneurysm after stent-assisted embolization: case report and literature review. Neuroradiology 2006; 48: 333-337
    CrossrefPubMedSearch in Google Scholar
  • 38 Maeda K, Motoie R, Karashima S. et al. A case of delayed distal coil migration after coil embolization of an unruptured distal azygos anterior cerebral artery aneurysm: a case report and literature review. Interv Neuroradiol 2018; 24: 643-649
    CrossrefPubMedSearch in Google Scholar
  • 39 Phatouros CC, McConachie NS, Jaspan T. Post-procedure migration of Guglielmi detachable coils and mechanical detachable spirals. Neuroradiology 1999; 41: 324-327
    CrossrefPubMedSearch in Google Scholar
  • 40 Domingo RA, Martinez Santos JL, Ravindran K. et al. we thank the ENRG Research Group. Management of thromboembolic complications during aneurysm coiling: 2-dimensional operative video. Oper Neurosurg (Hagerstown) 2021; 20: E348-E349
    CrossrefPubMedSearch in Google Scholar
  • 41 Bendszus M, Koltzenburg M, Burger R. et al. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet 1999; 354: 1594-1597
    CrossrefPubMedSearch in Google Scholar
  • 42 Tan LA, Keigher KM, Munich SA. et al. Thromboembolic complications with Pipeline Embolization Device placement: impact of procedure time, number of stents and pre-procedure P2Y12 reaction unit (PRU) value. J Neurointerv Surg 2015; 7: 217-221
    CrossrefPubMedSearch in Google Scholar
  • 43 Davis MC, Deveikis JP, Harrigan MR. Clinical presentation, imaging, and management of complications due to neurointerventional procedures. Semin Intervent Radiol 2015; 32: 98-107
    Thieme ConnectPubMedSearch in Google Scholar
  • 44 Lessne ML, Shah P, Alexander MJ. et al. Thromboembolic complications after Neuroform stent-assisted treatment of cerebral aneurysms: the Duke Cerebrovascular Center experience in 235 patients with 274 stents. Neurosurgery 2011; 69: 369-375
    CrossrefPubMedSearch in Google Scholar
  • 45 Matsukawa H, Kamiyama H, Miyazaki T. et al. Comprehensive analysis of perforator territory infarction on postoperative diffusion-weighted imaging in patients with surgically treated unruptured intracranial saccular aneurysms. J Neurosurg 2019; 132: 1088-1095
    CrossrefPubMedSearch in Google Scholar
  • 46 Sluzewski M, Bosch JA, van Rooij WJ. et al. Rupture of intracranial aneurysms during treatment with Guglielmi detachable coils: incidence, outcome, and risk factors. J Neurosurg 2001; 94: 238-240
    CrossrefPubMedSearch in Google Scholar
  • 47 Fleming JB, Hoh BL, Simon SD. et al. Rebleeding risk after treatment of ruptured intracranial aneurysms. J Neurosurg 2011; 114: 1778-1784
    CrossrefPubMedSearch in Google Scholar
  • 48 Ihn YK, Shin SH, Baik SK. et al. Complications of endovascular treatment for intracranial aneurysms: management and prevention. Interv Neuroradiol 2018; 24: 237-245
    CrossrefPubMedSearch in Google Scholar
  • 49 Kulcsár Z, Houdart E, Bonafé A. et al. Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment. AJNR Am J Neuroradiol 2011; 32: 20-25
    CrossrefPubMedSearch in Google Scholar
  • 50 Hu YC, Deshmukh VR, Albuquerque FC. et al. Histopathological assessment of fatal ipsilateral intraparenchymal hemorrhages after the treatment of supraclinoid aneurysms with the Pipeline Embolization Device. J Neurosurg 2014; 120: 365-374
    CrossrefPubMedSearch in Google Scholar
  • 51 Fealey ME, Edwards WD, Giannini C. et al. Complications of endovascular polymers associated with vascular introducer sheaths and metallic coils in 3 patients, with literature review. Am J Surg Pathol 2008; 32: 1310-1316
    CrossrefPubMedSearch in Google Scholar
  • 52 Mehta RI, Mehta RI, Fishbein MC. et al. Intravascular polymer material after coil embolization of a giant cerebral aneurysm. Hum Pathol 2009; 40: 1803-1807
    CrossrefPubMedSearch in Google Scholar
  • 53 Meyers PM, Lavine SD, Fitzsimmons BF. et al. Chemical meningitis after cerebral aneurysm treatment using two second-generation aneurysm coils: report of two cases. Neurosurgery 2004; 55: 1222
    CrossrefPubMedSearch in Google Scholar
  • 54 Cloft HJ, Jensen ME, Kallmes DF. et al. Arterial dissections complicating cerebral angiography and cerebrovascular interventions. AJNR Am J Neuroradiol 2000; 21: 541-545
    PubMedSearch in Google Scholar
  • 55 Paramasivam S, Leesch W, Fifi J. et al. Iatrogenic dissection during neurointerventional procedures: a retrospective analysis. J Neurointerv Surg 2012; 4: 331-335
    CrossrefPubMedSearch in Google Scholar
  • 56 Raymond J, Guilbert F, Weill A. et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 2003; 34: 1398-1403
    CrossrefPubMedSearch in Google Scholar
  • 57 Mascitelli JR, Moyle H, Oermann EK. et al. An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization. J Neurointerv Surg 2015; 7: 496-502
    CrossrefPubMedSearch in Google Scholar
  • 58 Grunwald IQ, Kamran M, Corkill RA. et al. Simple measurement of aneurysm residual after treatment: the SMART scale for evaluation of intracranial aneurysms treated with flow diverters. Acta Neurochir (Wien) 2012; 154: 21-26 discussion 26
    CrossrefPubMedSearch in Google Scholar
  • 59 Kamran M, Yarnold J, Grunwald IQ. et al. Assessment of angiographic outcomes after flow diversion treatment of intracranial aneurysms: a new grading schema. Neuroradiology 2011; 53: 501-508
    CrossrefPubMedSearch in Google Scholar
  • 60 O’kelly CJ, Krings T, Fiorella D. et al. A novel grading scale for the angiographic assessment of intracranial aneurysms treated using flow diverting stents. Interv Neuroradiol 2010; 16: 133-137
    CrossrefPubMedSearch in Google Scholar
  • 61 Darflinger R, Thompson LA, Zhang Z. et al. Recurrence, retreatment, and rebleed rates of coiled aneurysms with respect to the Raymond-Roy scale: a meta-analysis. J Neurointerv Surg 2016; 8: 507-511
    CrossrefPubMedSearch in Google Scholar
  • 62 Kim SJ, Kim YJ, Ko JH. Long term outcome of in-stent stenosis after stent assisted coil embolization for cerebral aneurysm. J Korean Neurosurg Soc 2019; 62: 536-544
    CrossrefPubMedSearch in Google Scholar
  • 63 Gao B, Safain MG, Malek AM. Enterprise stenting for intracranial aneurysm treatment induces dynamic and reversible age-dependent stenosis in cerebral arteries. J Neurointerv Surg 2015; 7: 297-302
    CrossrefPubMedSearch in Google Scholar
  • 64 Mühl-Benninghaus R, Haußmann A, Simgen A. et al. Transient in-stent stenosis: a common finding after flow diverter implantation. J Neurointerv Surg 2019; 11: 196-199
    CrossrefPubMedSearch in Google Scholar
  • 65 John S, Bain MD, Hui FK. et al. Long-term follow-up of in-stent stenosis after Pipeline Flow Diversion Treatment of intracranial aneurysms. Neurosurgery 2016; 78: 862-867
    CrossrefPubMedSearch in Google Scholar
  • 66 Bender MT, Wendt H, Monarch T. et al. Small aneurysms account for the majority and increasing percentage of aneurysmal subarachnoid hemorrhage: a 25-year, single institution study. Neurosurgery 2018; 83: 692-699
    CrossrefPubMedSearch in Google Scholar
  • 67 Caroff J, Mihalea C, Neki H. et al. Role of C-arm VasoCT in the use of endovascular WEB flow disruption in intracranial aneurysm treatment. AJNR Am J Neuroradiol 2014; 35: 1353-1357
    CrossrefPubMedSearch in Google Scholar
  • 68 Reyes D, Becerra V, Alcala I. et al. Usefulness of cone beam intra-arterial CTA for evaluation of flow diverters: a practical approach for daily use. Intervent Neurol 2018; 7: 457-463
    CrossrefPubMedSearch in Google Scholar
  • 69 Lauric A, Heller RS, Schimansky S. et al. Benefit of cone-beam CT angiography in visualizing aneurysm shape and identification of exact rupture site. J Neuroimaging 2015; 25: 56-61
    CrossrefPubMedSearch in Google Scholar