Charles M. Strother
In parallel with revolutionary advancements in the techniques and tools for endovascular treatment of cerebrovascular diseases has been a dramatic enrichment in the imaging capabilities of x-ray angiographic equipment. To one who started trying to … more »
Ajay Wakhloo
Matthew J. Gounis
C-arm-based conebeam CT (CBCT) has offered tremendous advances in interventional neuroradiology (reviewed1). One such important development was the ability to simultaneously image cerebrovascular stents and the vessel lumen that provides critical information regarding the relationship of the device … more »
Seung Hun Sheen
Intravenous flat detector CT (IV FDCT) is an emerging technology for generating CT-like images from a rotating flat panel detector in a biplane angiographic system. Clinical applications of IV FDCT have included the early detection of cerebral infarction1 and periprocedural complications, and a follow-up tool for intracranial stenting.2
The Artis zee … more »
Kent R. Thielen
We have a long-standing interest and relatively high-volume practice directed at the diagnosis and treatment of spinal dural arteriovenous fistulas (SDAVFs). Patients with an SDAVF frequently have been misdiagnosed or have not been diagnosed at the time of their initial presentation at our institution. The ability to diagnose the patient’s SDAVF … more »
Matthew J. Gounis
Ajay Wakhloo
Endovascular treatment of acute ischemic stroke, despite exciting technology developments over the past two decades, suffered a major setback this year. Three randomized trials showed no clinical benefit for intra-arterial treatments as compared with standard medical therapy.1-3 As with … more »
Kevin L. Royalty
The flat detector technology that is now available in the angiography suite on most commercial C-arm systems provides a platform for both CT and angiographic imaging, and with it, the potential for high spatial resolution anatomic and physiologic imaging for intraprocedural diagnosis and evaluation.
“Time is Brain” has now become the mantra for … more »
Tobias Struffert
Endovascular treatment of ischemic stroke has developed rapidly in recent years. I performed my first mechanical stroke treatment with a dedicated stroke device in a patient included in the penumbra trial that was published in AJNR in 2008. This patient showed a dramatic improvement of his clinical condition right after recanalization of the … more »
Pasquale Mordasini
Flat panel detector (FPD) angiographic systems have been widely introduced into neurointerventional suites. They primarily allow the acquisition of high-quality 3D rotational angiography, but also allow us to obtain CT-like cross-sectional soft tissue imaging with different reconstruction modalities. FPD technology has been shown to permit fast imaging without the need for time-consuming patient … more »