Türk Nöroşirürji Dergisi 2019 , Vol 29 , Num 1
Should We Perform Aneurysm Surgery with Computerized Tomography Angiography?
Mehmet SEÇER1,Haydar SEKMEN1,Ömer POLAT2
1Derince Eğitim ve Araştıma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Kocaeli, Türkiye
2Düzce Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Düzce, Türkiye
Subarachnoid hemorrhage (SAH) from ruptured aneurysms still has a high mortality and morbidity rate despite advanced treatment methods The accurate characterization of aneurysmal morphology with neuroimaging to guide the treatment is important. Imaging methods are critical for the evaluation and treatment of patients with cerebral aneurysms. Computerized tomography angiography (CTA), magnetic resonance angiography (MRA) and digital subtraction angiography (DSA) are used for the neuroimaging of cerebral aneurysms. Each neuroimaging technique has its own strengths and weaknesses and can benefit from recent developments. CTA is a less invasive, faster, easier, and cheaper method of detecting aneurysm localization and morphology. The overlap between the clinical and radiological images of the aneurysm case, and the absence of a conflict in the relationship between the aneurysm and the peripheral vascular structures may be the first diagnostic modality in CTA aneurysm surgery. Anahtar Kelimeler : Aneurysm, Computerized tomography, Subarachnoid hemorrhage