RT Journal Article SR Electronic T1 Republished: Novel use of 4D-CTA in imaging of intranidal aneurysms in an acutely ruptured arteriovenous malformation: is this the way forward? JF Journal of NeuroInterventional Surgery JO J NeuroIntervent Surg FD BMJ Publishing Group Ltd. SP e36 OP e36 DO 10.1136/neurintsurg-2015-011784.rep VO 8 IS 9 A1 Chandran, Arun A1 Radon, Mark A1 Biswas, Shubhabrata A1 Das, Kumar A1 Puthuran, Mani A1 Nahser, Hans YR 2016 UL http://jnis.bmj.com/content/8/9/e36.abstract AB Ruptured arteriovenous malformation (AVM) is a frequent cause of intracranial hemorrhage. The presence of associated aneurysms, especially intranidal aneurysms, is considered to increase the risk of re-hemorrhage. We present two cases where an intranidal aneurysm was demonstrated on four-dimensional CT angiography (time-resolved CT angiography) (4D-CTA). These features were confirmed by digital subtraction angiography (catheter arterial angiogram). This is the first report of an intranidal aneurysm demonstrated by 4D-CTA. 4D-CTA can offer a comprehensive evaluation of the angioarchitecture and flow dynamics of an AVM for appropriate classification and management.