Evaluation of MRI Vessel-Wall Imaging as a Reliable Follow-Up Tool for the Long-Term Assessment of Endovascularly Treated Aneurysms

Purpose: The audit study aims to assess the diagnostic yield of MR vessel wall imaging in detecting aneurysm recurrence, residual necks, and other complications, contributing to a better understanding of its role in post-endovascular follow-up than the more commonly used invasive conventional cerebral angiography.

Materials and Methods: A retrospective audit was conducted on a cohort of patients who presented to our hospital and underwent endovascular treatment for intracranial aneurysms within one year. Electronic medical records, imaging databases, and procedural notes were analyzed. MR vessel wall imaging in the posttreatment follow-up period is reviewed. Relevant demographic, clinical, and imaging data were collected and analyzed to assess the impact of MR vessel wall imaging on the detection of complications and overall patient outcomes.

Results: Preliminary findings from reviewing 30 patients indicate that MR vessel wall imaging has demonstrated high sensitivity in detecting changes in aneurysm morphology post-endovascular treatment. The imaging modality allowed for detailed visualization of the vessel wall and accurate assessment of treatment success.

Conclusion: In conclusion, the findings of this audit show the promising role of MR vessel wall imaging as a noninvasive and efficient modality in the follow-up of endovascularly treated intracranial aneurysms. This imaging technique offers a swift and comprehensive assessment of aneurysm characteristics without subjecting patients to the risks associated with repeated invasive digital subtraction angiography. The noninvasive, time-efficient, and radiation-sparing approach of integrating MR vessel wall imaging into routine surveillance protocols for endovascularly treated intracranial aneurysms holds significant promise for optimizing patient outcomes.

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Artikel online veröffentlicht:
02. April 2024