caa a22 4500 606171185 CHVBK 20210128100721.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10140-014-1252-y doi (NATIONALLICENCE)springer-10.1007/s10140-014-1252-y Intraoperative 3D rotational angiography: an emergency tool for the diagnosis of intracranial aneurysms [Elektronische Daten] [Thomas Westermaier, Nadine Willner, Giles Vince, Thomas Linsenmann, Ralf-Ingo Ernestus, Christian Stetter] It was the objective of this report to present a case of recurrent aneurysmal subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH) in which an MCA aneurysm was detected by 3D rotational fluoroscopy in an emergency situation. A 44-year-old woman was admitted from an external department after repeated SAH and temporal ICH. Due to progressive anisocoria and cardiocirculatory instability, she was transferred to the operating room without angiography. After a 3D rotational fluoroscopy baseline scan, another scan with 50ml of iodine contrast agent was performed. The Digital Imaging and Communications in Medicine (DICOM) data sets were subtracted and reconstructed using the OsiriX® free imaging software. No adverse effect was observed during and after the administration of the contrast agent. The entire procedure from positioning of the fluoroscope to the production of utilizable 3D images was completely integrated into the surgical workflow with an image acquisition time of 2 × 24s. The configuration of the aneurysm, the aneurysm-carrying vessel, and the distal vessel anatomy were well assessable. This technique quickly supplies images at adequate quality to assess the configuration of an intracranial aneurysm and is a useful diagnostic tool if the patient's critical condition prohibits aneurysm diagnostics by angiography or CT angiography. American Society of Emergency Radiology, 2014 Subarachnoid hemorrhage nationallicence Intracerebral hemorrhage nationallicence Aneurysm nationallicence Rupture nationallicence Intravenous contrast nationallicence 3D fluoroscopy nationallicence Westermaier Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut Willner Nadine Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut Vince Giles Abteilung für Neurochirurgie, Klinikum Klagenfurt, Feschnigstraße 11, 9020, Klagenfurt am Woerthersee, Austria aut Linsenmann Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut Ernestus Ralf-Ingo Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut Stetter Christian Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut Emergency Radiology Springer Berlin Heidelberg 22/1(2015-02-01), 97-100 1070-3004 22:1<97 2015 22 10140 https://doi.org/10.1007/s10140-014-1252-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-014-1252-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Westermaier Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Willner Nadine Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Vince Giles Abteilung für Neurochirurgie, Klinikum Klagenfurt, Feschnigstraße 11, 9020, Klagenfurt am Woerthersee, Austria aut NATIONALLICENCE 700 1- Linsenmann Thomas Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Ernestus Ralf-Ingo Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 700 1- Stetter Christian Department of Neurosurgery, University Hospital Wuerzburg, Josef-Schneider-Str. 11, 97080, Wuerzburg, Germany aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/1(2015-02-01), 97-100 1070-3004 22:1<97 2015 22 10140