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Research ArticleBrain

Diffusion-weighted MR Imaging After Angioplasty or Angioplasty Plus Stenting of Arteries Supplying the Brain

Horst J. Jaeger, Klaus D. Mathias, Robert Drescher, Elke Hauth, Georg Bockisch, Eren Demirel and Hans Martin Gissler
American Journal of Neuroradiology August 2001, 22 (7) 1251-1259;
Horst J. Jaeger
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Klaus D. Mathias
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Robert Drescher
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Elke Hauth
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Georg Bockisch
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Eren Demirel
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Hans Martin Gissler
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    fig 1.

    Patient 2.

    A, Stenosis of the cavernous part of the right ICA.

    B, Result after percutaneous angioplasty (3.5-mm balloon). Note irregularity at the site of the percutaneous angioplasty.

    C, Cross flow from the right ICA to the contralateral hemisphere (occlusion of the left ICA is not shown). Post-procedural diffusion-weighted images (6000/103; number of excitations, one) obtained with a diffusion sensitization level of b = 1000 s/mm2.

    D, New ipsilateral lesion: <5 mm, middle cerebral artery cortical territory, parietal lobe (arrow).

    E, New contralateral lesion: 5 to 10 mm, middle cerebral artery cortical territory, parietal lobe (arrow).

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    fig 2.

    Patient 5.

    A, Aortic arch injection (early phase). Stenosis of the innominate artery with antegrade flow in the right carotid artery. (Retrograde flow in the right VA with subclavian steal in the late phase is not shown).

    B, Result after stent implantation (balloon-expandable stent, 8 mm diameter) with antegrade flow in the right VA (arrows). Post-procedural diffusion-weighted images (6000/103; number of excitations, one) obtained with a diffusion sensitization level of b = 1000 s/mm2.

    C, New ipsilateral lesion: 5 to 10 mm, PCA deep territory, thalamus (arrow).

    D, New ipsilateral lesion: 15 mm, PCA cortical territory, occipital lobe (arrow).

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    fig 3.

    Patient 6.

    A, Stenosis of left VA (occlusion of right VA is not shown).

    B, Result after percutaneous angioplasty (3.5-mm balloon).

    C, Left VA injection. Note the anterior inferior-posterior inferior cerebellar artery complex on the right side (arrow). Post-procedural diffusion-weighted images (6000/103; number of excitations, one) obtained with a diffusion sensitization level of b = 1000 s;clmm2.

    D, New cerebellar lesions: 5 to 10 mm, superior cerebellar artery territory (arrows).

    E, New cerebellar lesion: 20 mm, posterior inferior cerebellar artery territory (arrow).

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    fig 4.

    A, Aortic arch injection (early phase). Occlusion of the proximal part of the left SA.

    B, Aortic arch injection (late phase). Retrograde flow in left VA with subclavian steal.

    C, Result after stent implantation (balloon-expandable stent, 7 mm) with antegrade flow in left VA.

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    TABLE 1:

    Characteristics of lesions and interventions

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    TABLE 2:

    Characteristics of new postprocedural lesion in DW-MR imaging

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American Journal of Neuroradiology: 22 (7)
American Journal of Neuroradiology
Vol. 22, Issue 7
1 Aug 2001
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Cite this article
Horst J. Jaeger, Klaus D. Mathias, Robert Drescher, Elke Hauth, Georg Bockisch, Eren Demirel, Hans Martin Gissler
Diffusion-weighted MR Imaging After Angioplasty or Angioplasty Plus Stenting of Arteries Supplying the Brain
American Journal of Neuroradiology Aug 2001, 22 (7) 1251-1259;

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Diffusion-weighted MR Imaging After Angioplasty or Angioplasty Plus Stenting of Arteries Supplying the Brain
Horst J. Jaeger, Klaus D. Mathias, Robert Drescher, Elke Hauth, Georg Bockisch, Eren Demirel, Hans Martin Gissler
American Journal of Neuroradiology Aug 2001, 22 (7) 1251-1259;
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Cited By...

  • New Ischemic Brain Lesions on Diffusion-Weighted MRI after Carotid Artery Stenting with Filter Protection: Frequency and Relationship with Plaque Morphology
  • Reporting standards for angioplasty and stent-assisted angioplasty for intracranial atherosclerosis
  • The Influence of Carotid Artery Catheterization Technique on the Incidence of Thromboembolism during Carotid Artery Stenting
  • Reporting Standards for Angioplasty and Stent-Assisted Angioplasty for Intracranial Atherosclerosis
  • Late Cerebral Embolization After Emboli-Protected Carotid Artery Stenting Assessed by Sequential Diffusion-Weighted Magnetic Resonance Imaging
  • Incidence of New Brain Lesions After Carotid Stenting With and Without Cerebral Protection
  • Silent Cerebral Ischemia Detected With Diffusion-Weighted Imaging in Patients Treated With Protected and Unprotected Carotid Artery Stenting
  • Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: A Joint Statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American Society of Neuroradiology, the Congress of Neurological Surgeons, the AANS/CNS Cerebrovascular Section, and the Society of Interventional Radiology
  • Cerebral Ischemia and Infarction From Atheroemboli <100 {micro}m in Size
  • Early Outcome of Carotid Angioplasty and Stenting With and Without Cerebral Protection Devices: A Systematic Review of the Literature
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