• Naci Kocer, Osman Kizilkilic, Drazenko Babic, Danny Ruijters, and Civan Islak.
• Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, University of Istanbul, Kocamustafapasa, Istanbul, Turkey. nkocer@istanbul.edu.tr
• J. Neurosurg.. 2013 May 1;118(5):1000-2.

AbstractAdvanced transluminal neurovascular navigation is an indispensable image-guided method that allows for real-time navigation of endovascular material in critical neurovascular settings. Thus far, it has been primarily based on 2D and 3D angiography, burdening the patient with a relatively high level of iodinated contrast. However, in the patients with renal insufficiency, this method is no longer tolerable due to the contrast load. The authors present a novel image guidance technique based on periprocedural fluoroscopic images fused with a preinterventionally acquired MRI data set. The technique is illustrated in a case in which the fused image combination was used for endovascular treatment of a giant cerebral aneurysm.

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