• Hideki Kuroda, Shingo Toyota, Tetsuya Kumagai, Takamitsu Iwata, Maki Kobayashi, Kanji Mori, and Takuyu Taki.
• Department of Neurosurgery, Kansai Rosai Hospital, Hyogo, Japan.
• World Neurosurg. 2019 Jul 1; 127: e1249-e1254.

BackgroundThe number of patients with a history of clipping of recurrent aneurysms after coil embolization has increased. The aim of this article was to report the feasibility of CT angiography using a commercial metal artifact reduction algorithm (Smart Metal Artifact Reduction [MAR]) for patients who underwent clipping of recurrent aneurysms after coil embolization.MethodsSix cases of clipping of recurrent aneurysms after coil embolization were examined with CT angiography using MAR between 2015 and 2018 at a single institution. Conventional CT angiography and three-dimensional digital subtraction angiography data were compared, and depiction of the status of treated aneurysms using MAR was estimated.ResultsConventional CT angiography was unable to depict the status of treated aneurysms in the patients with a history of clipping of recurrent aneurysms after coil embolization because of metal artifacts. With MAR, metal artifacts were greatly reduced, and the status of treated aneurysms was able to be depicted, although depiction was inferior to three-dimensional digital subtraction angiography.ConclusionsFor patients with a history of clipping of recurrent aneurysms after coil embolization, CT angiography using MAR is feasible, although further development of imaging techniques is needed.Copyright © 2019 Elsevier Inc. All rights reserved.

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