{"id":212,"date":"2002-10-11T12:33:49","date_gmt":"2002-10-11T17:33:49","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/neurovista\/2002\/10\/11\/from-the-literature-2\/"},"modified":"2002-10-11T12:33:49","modified_gmt":"2002-10-11T17:33:49","slug":"from-the-literature-2","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/neurovista\/2002\/10\/11\/from-the-literature-2\/","title":{"rendered":"From the literature&#8230;."},"content":{"rendered":"<p><font size=\"5\">Article Highlights <\/font><\/p>\n<p><a href=\"http:\/\/www.neurosurgery-online.com\/\">Neurosurgery<\/a> 2002 Oct;51(4):939-43<\/p>\n<p><font size=\"5\"><strong><font size=\"4\">Evaluation of vasospasm after subarachnoid hemorrhage by use of multislice computed tomographic angiography.<\/p>\n<p><\/font><font size=\"3\">Otawara Y, Ogasawara K, Ogawa A, Sasaki M, Takahashi K.<\/font><\/strong><\/font><\/p>\n<p><strong>Summary:&nbsp; <\/strong>The authors performed&nbsp;<strong>multislice CTA and DSA&nbsp;on 20 patients with SAH<\/strong> within 72 hours of admission<strong>.<\/strong> &nbsp;Multislice CTA and DSA were <strong>repeated on<\/strong> <strong>Day 7<\/strong> to assess cerebral vasospasm. They showed that the degree of vasospasm as revealed by multislice CTA correlated significantly with the degree of vasospasm revealed by DSA (P &lt; 0.0001).&nbsp;The level of agreement&nbsp;via CTA and DSA in the overall, proximal, and distal segments of the cerebral arteries was <strong>91.6, 90.8, and 92.3%, respectively<\/strong>. The authors concluded that multislice CTA can detect angiographic vasospasm after SAH with accuracy equal to that of DSA.<\/p>\n<p>&nbsp;<\/p>\n<p><font color=\"darkblue\" size=\"4\">Commentary:&nbsp; The authors raise the question of whether multi-slice CTA can replace conventional angiography for the evaluation of vasospasm.&nbsp; The article highlights the evolving role of CTA.&nbsp; As image quality improves with CTA this modality may increasingly have a role as a screening modality prior to angiography.&nbsp;&nbsp; Disadvantages of the technique occur in situations where clip or coil artifact obscure the vessel of interest and in the lack of being able to proceed directly to treatment.&nbsp; Nonetheless, it may obviate angiography in cases where spasm can not be ruled out by other means.&nbsp; ~B.Carter, M.D.<\/font><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Article Highlights Neurosurgery 2002 Oct;51(4):939-43 Evaluation of vasospasm after subarachnoid hemorrhage by use of multislice computed tomographic angiography. Otawara Y, Ogasawara K, Ogawa A, Sasaki M, Takahashi K. Summary:&nbsp; The authors performed&nbsp;multislice CTA and DSA&nbsp;on 20 patients with SAH within 72 hours of admission. &nbsp;Multislice CTA and DSA were repeated on Day 7 to assess [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-212","post","type-post","status-publish","format-standard","hentry"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts\/212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/comments?post=212"}],"version-history":[{"count":0,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts\/212\/revisions"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/media?parent=212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/categories?post=212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/tags?post=212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}