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KMID : 1103720150720050364
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Journal of the Korean Society of Radiology
2015 Volume.72 No. 5 p.364 ~ p.367
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Three-Dimensional Fusion Angiography of a Giant Basilar
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Lee Joo-Yeon
Suh Dae-Chul
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Abstract
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A giant aneurysm was unexpectedly found on computed tomography angiogram in a 54-year-old female. Cerebral angiogram showed a giant aneurysm at the ventral side of the lower basilar artery trunk. However, it was difficult to demonstrate the precise relationship between the aneurysmal sac and the parent artery because of the incomplete filling of the contrast medium secondary to the preferential flows from a well-balanced development of both vertebral arteries. Three-dimensional (3D) fusion angiography revealed complete filling of the aneurysm as well as the basilar trunk itself beyond the aneurysm, which was dysplastic. Coiling of the aneurysm was safely and completely accomplished based on the fusion images. In this report, we demonstrate a case of giant basilar aneurysm with 3D fusion angiography proving useful in assisting with treatment planning.
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KEYWORD
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Aneurysm, Angiography, Embolization
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