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posterior_communicating_artery_aneurysm_diagnosis

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posterior_communicating_artery_aneurysm_diagnosis [2019/12/10 11:26]
administrador [Posterior communicating artery aneurysm diagnosis]
posterior_communicating_artery_aneurysm_diagnosis [2019/12/18 08:55] (current)
administrador [Angiographic considerations]
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 ==== Angiographic considerations ==== ==== Angiographic considerations ====
  
-Vertebral artery (VA) injection is necessary to help evaluate the posterior communicating artery:+[[Vertebral artery]] (VA) injection is necessary to help evaluate the [[posterior communicating artery]]:
  
 1. if the p-comm is patent: determine if there is a “[[fetal circulation]]” where the posterior circulation 1. if the p-comm is patent: determine if there is a “[[fetal circulation]]” where the posterior circulation
 is fed only through the p-comm is fed only through the p-comm
  
-2. determine if the aneurysm fills from VA injection+2. determine if the [[aneurysm]] fills from VA injection
  
 If additional views are needed t o better demonstrate aneurysm If additional views are needed t o better demonstrate aneurysm
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 of lateral rim of ipsilateral orbit, orient x-ray tube 12° cephalad of lateral rim of ipsilateral orbit, orient x-ray tube 12° cephalad
 ---- ----
- 
 One cannot accurately predict blood supply dominance of the [[posterior cerebral artery]] with CTA. Knowledge of the blood flow dominance is essential when clipping a posterior communicating artery aneurysm to avoid compromise in posterior circulation One cannot accurately predict blood supply dominance of the [[posterior cerebral artery]] with CTA. Knowledge of the blood flow dominance is essential when clipping a posterior communicating artery aneurysm to avoid compromise in posterior circulation
 ((Ahmed O, Kalakoti P, Menger R, Brown B, Zhang S, Guthikonda B, Cuellar H. ((Ahmed O, Kalakoti P, Menger R, Brown B, Zhang S, Guthikonda B, Cuellar H.
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 Neuroradiol J. 2015 Dec;​28(6):​598-603. doi: 10.1177/​1971400915615082. Epub 2015 Neuroradiol J. 2015 Dec;​28(6):​598-603. doi: 10.1177/​1971400915615082. Epub 2015
 Oct 29. PubMed PMID: 26515748. Oct 29. PubMed PMID: 26515748.
-))+)).
posterior_communicating_artery_aneurysm_diagnosis.txt · Last modified: 2019/12/18 08:55 by administrador