Improved diagnosis of actively bleeding aneurysm on CT angiography using delayed CT images

Sudhir Kathuria, John P. Deveikis, Per Lennart Westesson, Dheeraj Gandhi

Research output: Contribution to journalArticlepeer-review

Abstract

Computed tomographic angiography (CTA) is being increasingly utilized in the non-invasive diagnosis of aneurysmal subarachnoid hemorrhage (SAH). There are emerging reports of diagnosis of active aneurysmal bleeding on CTA, furthering our understanding of imaging features of active extravasation on cross-sectional studies. We demonstrate imaging characteristics of two such cases of active contrast extravasation from intracranial aneurysms. Additionally, we demonstrate that delayed CT images greatly improve the confidence of this diagnosis by demonstrating pooling of contrast in the subarachnoid space. Prompt recognition and management can improve prognosis of this potentially lethal condition.

Original languageEnglish (US)
Pages (from-to)328-331
Number of pages4
JournalEuropean Journal of Radiology
Volume79
Issue number2
DOIs
StatePublished - Aug 1 2011

Keywords

  • Active bleeding
  • Aneurysm
  • CT angiography
  • Delayed imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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