Limiting foetal doses during a four-vessel angiogram and endovascular stent-assisted berry aneurysm repair: A case report

Abstract

A 36-year-old female patient, 20 weeks pregnant, was diagnosed with a left internal carotid artery aneurysm. Fluoroscopically guided repair was justified. A four-vessel cerebral angiogram was performed, and a left paraclinoid aneurysm was demonstrated. The patient subsequently underwent endovascular stent-assisted berry aneurysm repair. As the patient was pregnant, the procedure was preceded by consideration of the required radiation protection. The foetal dose was estimated as negligible. Active management of foetal exposures may improve radiation protection during pregnancy.

Keywords

• foetal dose
• radiation protection
• cerebral angiogram
• aneurysm repair