Cone-beam CT angiography to assess the microvascular anatomy of intracranial arterial dissections

Neuroradiol J. 2022 Aug;35(4):527-532. doi: 10.1177/19714009211049089. Epub 2021 Sep 30.

Abstract

Background: Intracranial artery dissection is a rare and generally under-recognized cause of ischaemic stroke or subarachnoid haemorrhage.

Objectives: The aim of this study was to analyse the efficacy of cone-beam computed tomography angiography (CBCT-A) to detect arterial ultrastructural alterations in intracranial artery dissection.

Method: This is an observational and retrospective case series.

Results: Between January 2018 and November 2020, four patients were admitted with an acute ischaemic stroke due to intracranial dissection studied with CBCT-A. In all cases, the CBCT-A documented vascular ultrastructural alterations related with the intracranial dissection.

Conclusions: CBCT-A is an intraprocedural diagnostic technique that is useful for the diagnosis of intracranial dissections.

Keywords: Cone beam CT; intracranial dissection; intracranial stent; stroke; thrombectomy.

Publication types

  • Observational Study

MeSH terms

  • Aortic Dissection*
  • Brain Ischemia*
  • Computed Tomography Angiography
  • Cone-Beam Computed Tomography
  • Humans
  • Retrospective Studies
  • Stroke*