Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures
PurposeWe investigated whether a 3D overlay roadmap using monoplane fluoroscopy offers advantages over a conventional 2D roadmap using biplane fluoroscopy during endovascular aneurysm treatment.Materials and MethodsA retrospective chart review was conducted for 131 consecutive cerebral aneurysm embo...
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2016-09-01
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| Series: | Neurointervention |
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| Online Access: | http://neurointervention.org/upload/pdf/ni-11-105.pdf |
| _version_ | 1797329661833773056 |
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| author | Dong-Kyu Jang David A. Stidd Sebastian Schafer Michael Chen Roham Moftakhar Demetrius K. Lopes |
| author_facet | Dong-Kyu Jang David A. Stidd Sebastian Schafer Michael Chen Roham Moftakhar Demetrius K. Lopes |
| author_sort | Dong-Kyu Jang |
| collection | DOAJ |
| description | PurposeWe investigated whether a 3D overlay roadmap using monoplane fluoroscopy offers advantages over a conventional 2D roadmap using biplane fluoroscopy during endovascular aneurysm treatment.Materials and MethodsA retrospective chart review was conducted for 131 consecutive cerebral aneurysm embolizations by three neurointerventionalists at a single institution. Allowing for a transition period, the periods from January 2012 to August 2012 (Time Period 1) and February 2013 to July 2013 (Time Period 2) were analyzed for radiation exposure, contrast administration, fluoroscopy time, procedure time, angiographic results, and perioperative complications. Two neurointerventionalists (Group 1) used a conventional 2D roadmap for both Time Periods, and one neurointerventionalist (Group 2) transitioned from a 2D roadmap during Time Period 1 to a 3D overlay roadmap during Time Period 2.ResultsDuring Time Period 2, Group 2 demonstrated reduced fluoroscopy time (p<0.001), procedure time (P=0.023), total radiation dose (p=0.001), and fluoroscopy dose (P=0.017) relative to Group 1. During Time Period 2, there was no difference of immediate angiographic results and procedure complications between the two groups. Through the transition from Time Period 1 to Time Period 2, Group 2 demonstrated decreased fluoroscopy time (p< 0.001), procedure time (p=0.022), and procedure complication rate (p=0.041) in Time Period 2 relative to Time Period 1.ConclusionThe monoplane 3D overlay roadmap technique reduced fluoroscopy dose and fluoroscopy time during neurointervention of cerebral aneurysms with similar angiographic occlusions and complications rate relative to biplane 2D roadmap, which implies possible compensation of limitations of monoplane fluoroscopy by 3D overlay technique. |
| first_indexed | 2024-03-08T07:08:43Z |
| format | Article |
| id | doaj.art-75ec069d1f78446fa22631fdf52ac10f |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:08:43Z |
| publishDate | 2016-09-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-75ec069d1f78446fa22631fdf52ac10f2024-02-03T03:50:12ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732016-09-0111210511310.5469/neuroint.2016.11.2.105107Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional ProceduresDong-Kyu Jang0David A. Stidd1Sebastian Schafer2Michael Chen3Roham Moftakhar4Demetrius K. Lopes5Department of Neurosurgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.Siemens Medical Solutions, Hoffman Estates, IL, USA.Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.PurposeWe investigated whether a 3D overlay roadmap using monoplane fluoroscopy offers advantages over a conventional 2D roadmap using biplane fluoroscopy during endovascular aneurysm treatment.Materials and MethodsA retrospective chart review was conducted for 131 consecutive cerebral aneurysm embolizations by three neurointerventionalists at a single institution. Allowing for a transition period, the periods from January 2012 to August 2012 (Time Period 1) and February 2013 to July 2013 (Time Period 2) were analyzed for radiation exposure, contrast administration, fluoroscopy time, procedure time, angiographic results, and perioperative complications. Two neurointerventionalists (Group 1) used a conventional 2D roadmap for both Time Periods, and one neurointerventionalist (Group 2) transitioned from a 2D roadmap during Time Period 1 to a 3D overlay roadmap during Time Period 2.ResultsDuring Time Period 2, Group 2 demonstrated reduced fluoroscopy time (p<0.001), procedure time (P=0.023), total radiation dose (p=0.001), and fluoroscopy dose (P=0.017) relative to Group 1. During Time Period 2, there was no difference of immediate angiographic results and procedure complications between the two groups. Through the transition from Time Period 1 to Time Period 2, Group 2 demonstrated decreased fluoroscopy time (p< 0.001), procedure time (p=0.022), and procedure complication rate (p=0.041) in Time Period 2 relative to Time Period 1.ConclusionThe monoplane 3D overlay roadmap technique reduced fluoroscopy dose and fluoroscopy time during neurointervention of cerebral aneurysms with similar angiographic occlusions and complications rate relative to biplane 2D roadmap, which implies possible compensation of limitations of monoplane fluoroscopy by 3D overlay technique.http://neurointervention.org/upload/pdf/ni-11-105.pdf3d roadmapaneurysmsneurointerventionfluoroscopy dosefluoroscopy time |
| spellingShingle | Dong-Kyu Jang David A. Stidd Sebastian Schafer Michael Chen Roham Moftakhar Demetrius K. Lopes Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures Neurointervention 3d roadmap aneurysms neurointervention fluoroscopy dose fluoroscopy time |
| title | Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures |
| title_full | Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures |
| title_fullStr | Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures |
| title_full_unstemmed | Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures |
| title_short | Monoplane 3D Overlay Roadmap versus Conventional Biplane 2D Roadmap Technique for Neurointervenional Procedures |
| title_sort | monoplane 3d overlay roadmap versus conventional biplane 2d roadmap technique for neurointervenional procedures |
| topic | 3d roadmap aneurysms neurointervention fluoroscopy dose fluoroscopy time |
| url | http://neurointervention.org/upload/pdf/ni-11-105.pdf |
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