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Digital Subtraction Angiography

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Neuroimaging Techniques in Clinical Practice

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Abstract

Digital subtraction angiography (DSA) is a robust imaging technique with high spatial resolution used in interventional neuroradiology on a daily basis. It is applied for diagnosis and treatment of a broad spectrum of neurovascular diseases, including acute stroke and intracranial aneurysm treatment. This chapter describes the technical background and clinical applications of digital subtraction angiography in neuroradiology.

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References

  1. Ziedses Des Plantes BG. Subtraktion. eine röntgenographische Methode zur separaten Abbildung bestimmter Teile des Objekts. Fortschritte auf dem Gebiete der Röntgenstrahlung. 1935;52:69–79.

    Google Scholar 

  2. Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol. 1953;39(5):368–76.

    Article  CAS  Google Scholar 

  3. Ziedses Des Plantes BG. Use of subtraction in the radiography of the heart and the great blood vessels. Ned Tijdschr Geneeskd. 1959;103:2554–61.

    CAS  PubMed  Google Scholar 

  4. Djindjian R. Application to cerebral angiography of the subtraction method of Ziedses des Plantes. Concours Med. 1962;84:3839–45.

    CAS  PubMed  Google Scholar 

  5. Kruger RA, Mistretta CA, Houk TL, Riederer SJ, Shaw CG, Goodsitt MM, et al. Computerized fluoroscopy in real time for noninvasive visualization of the cardiovascular system. Prelim Stud Radiol. 1979;130(1):49–57.

    CAS  Google Scholar 

  6. Meaney TF, Weinstein MA, Buonocore E, Pavlicek W, Borkowski GP, Gallagher JH, et al. Digital subtraction angiography of the human cardiovascular system. AJR Am J Roentgenol. 1980;135(6):1153–60.

    Article  CAS  Google Scholar 

  7. Jeans WD. The development and use of digital subtraction angiography. Br J Radiol. 1990;63(747):161–8.

    Article  CAS  Google Scholar 

  8. Allisy-Roberts PJ, Williams J. Farr’s physics for medical imaging. Philadelphia, PA: Saunders Elsevier; 2008.

    Google Scholar 

  9. Bellemare CA, Poder TG. Effectiveness of biplane angiography compared to monoplane angiography for vascular neuro-interventions: a systematic review of the literature. Clin Radiol. 2017;72(7):612.e1–5.

    Article  CAS  Google Scholar 

  10. Hoff DJ, Wallace MC, terBrugge KG, Gentili F. Rotational angiography assessment of cerebral aneurysms. AJNR Am J Neuroradiol. 1994;15(10):1945–8.

    CAS  PubMed  Google Scholar 

  11. Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49(3):e46–e110.

    Article  Google Scholar 

  12. Tsang COA, Cheung IHW, Lau KK, Brinjikji W, Kallmes DF, Krings T. Outcomes of stent retriever versus aspiration-first thrombectomy in ischemic stroke: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2018;39:2070.

    Article  CAS  Google Scholar 

  13. Brinjikji W, Pereira VM, Khumtong R, Kostensky A, Tymianski M, Krings T, et al. PHASES and ELAPSS scores are associated with aneurysm growth: a study of 431 unruptured intracranial aneurysms. World Neurosurg. 2018;114:e425–e32.

    Article  Google Scholar 

  14. Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, 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(1):59–66.

    Article  Google Scholar 

  15. Rawal S, Alcaide-Leon P, Macdonald RL, Rinkel GJ, Victor JC, Krings T, et al. Meta-analysis of timing of endovascular aneurysm treatment in subarachnoid haemorrhage: inconsistent results of early treatment within 1 day. J Neurol Neurosurg Psychiatry. 2017;88(3):241–8.

    Article  Google Scholar 

  16. Krings T, Mandell DM, Kiehl TR, Geibprasert S, Tymianski M, Alvarez H, et al. Intracranial aneurysms: from vessel wall pathology to therapeutic approach. Nat Rev Neurol. 2011;7(10):547–59.

    Article  CAS  Google Scholar 

  17. Wijayatilake DS, Ratnayake G, Ragavan D. Anaesthesia for neuroradiology: thrombectomy: ‘one small step for man, one giant leap for anaesthesia’. Curr Opin Anaesthesiol. 2016;29(5):568–75.

    Article  CAS  Google Scholar 

  18. Willinsky RA, Taylor SM, TerBrugge K, Farb RI, Tomlinson G, Montanera W. Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology. 2003;227(2):522–8.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Radiology and Nuclear Medicine, Amsterdam University Medical Centers—Location VU University Medical Center, Amsterdam, The Netherlands

    Eef J. Hendriks

  2. Division of Neuroradiology, Joint Department of Medical Imaging, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Canada

    Jesse M. Klostranec & Timo Krings

Authors
  1. Eef J. Hendriks
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  2. Jesse M. Klostranec
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  3. Timo Krings
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Corresponding author

Correspondence to Timo Krings .

Editor information

Editors and Affiliations

  1. University Clinic for Radiology, University Hospital of Münster, Münster, Germany

    Manoj Mannil

  2. Department of Neuroradiology, University Hospital Zurich, Zurich, Switzerland

    Sebastian F.-X. Winklhofer

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Hendriks, E.J., Klostranec, J.M., Krings, T. (2020). Digital Subtraction Angiography. In: Mannil, M., Winklhofer, SX. (eds) Neuroimaging Techniques in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-48419-4_3

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  • DOI: https://doi.org/10.1007/978-3-030-48419-4_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-48418-7

  • Online ISBN: 978-3-030-48419-4

  • eBook Packages: MedicineMedicine (R0)

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