Cited 61 times in
Stent-assisted coil embolization followed by a stent-within-a-stent technique for ruptured dissecting aneurysms of the intracranial vertebrobasilar artery. Clinical article
DC Field | Value | Language |
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dc.contributor.author | 김동익 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 서상현 | - |
dc.date.accessioned | 2015-04-24T16:45:31Z | - |
dc.date.available | 2015-04-24T16:45:31Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 0022-3085 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/104116 | - |
dc.description.abstract | OBJECT: A ruptured dissecting aneurysm of the vertebrobasilar artery (VBA-DA) is a well-known cause of acute subarachnoid hemorrhage (SAH) with a high rate of early rebleeding. Internal trapping of the parent artery, including the dissected segment, is one of the most reliable techniques to prevent rebleeding. However, for a ruptured VBA-DA not suitable for internal trapping, the optimal treatment method has not been well established. The authors describe their experience in treating ruptured VBA-DAs not amenable to internal trapping of the parent artery with stent-assisted coil embolization (SAC) followed by a stent-within-a-stent (SWS) technique. METHODS: Eleven patients-6 men and 5 women with a mean age of 48 years and each with a ruptured VBA-DA not amenable to internal trapping of the parent artery-underwent an SAC-SWS between November 2005 and October 2007. The feasibility and clinical and angiographic outcomes of this combined procedure were retrospectively evaluated. RESULTS: The SAC-SWS was successful without any treatment-related complications in all 11 patients. Immediate posttreatment angiograms revealed complete obliteration of the DA sac in 3 patients, near-complete obliteration in 7, and partial obliteration in 1. One patient died as a direct consequence of the initial SAH. All 10 surviving patients had excellent clinical outcomes (Glasgow Outcome Scale Score 5) without posttreatment rebleeding during a follow-up period of 8-24 months (mean follow-up 15 months). Angiographic follow-up at 6-12 months after treatment was possible at least once in all surviving patients. Nine VBA-DAs showed complete obliteration; the other aneurysm, which had appeared partially obliterated immediately after treatment, demonstrated progressive obliteration on 2 consecutive follow-up angiography studies. There was no in-stent stenosis or occlusion of the branch or perforating vessels. CONCLUSIONS: The SAC-SWS technique seems to be a feasible and effective reconstructive treatment option for a ruptured VBA-DA. The technique may be considered as an alternative therapeutic option in selected patients with ruptured VBA-DAs unsuitable for internal trapping of the parent artery. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 48~52 | - |
dc.relation.isPartOf | JOURNAL OF NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cerebral Angiography | - |
dc.subject.MESH | Embolization, Therapeutic/instrumentation* | - |
dc.subject.MESH | Embolization, Therapeutic/methods* | - |
dc.subject.MESH | Feasibility Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/diagnostic imaging | - |
dc.subject.MESH | Intracranial Aneurysm/therapy* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Vertebral Artery Dissection/diagnostic imaging | - |
dc.subject.MESH | Vertebral Artery Dissection/therapy* | - |
dc.title | Stent-assisted coil embolization followed by a stent-within-a-stent technique for ruptured dissecting aneurysms of the intracranial vertebrobasilar artery. Clinical article | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Sang Hyun Suh | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Dong Ik Kim | - |
dc.contributor.googleauthor | Yong Sam Shin | - |
dc.contributor.googleauthor | Eui Jong Kim | - |
dc.contributor.googleauthor | Eun Chul Chung | - |
dc.contributor.googleauthor | Jun Seok Koh | - |
dc.contributor.googleauthor | Hyun Cheol Shin | - |
dc.contributor.googleauthor | Chun Sik Choi | - |
dc.contributor.googleauthor | Yu Sam Won | - |
dc.identifier.doi | 10.3171/2009.2.JNS081418 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01886 | - |
dc.relation.journalcode | J01636 | - |
dc.identifier.eissn | 1933-0693 | - |
dc.identifier.pmid | 19326976 | - |
dc.identifier.url | http://thejns.org/doi/abs/10.3171/2009.2.JNS081418 | - |
dc.subject.keyword | ruptured dissecting aneurysm | - |
dc.subject.keyword | vertebrobasilar artery | - |
dc.subject.keyword | endovascular treatment | - |
dc.subject.keyword | stent-assisted coil embolization | - |
dc.subject.keyword | stent-within-a-stent technique | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Suh, Sang Hyun | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Suh, Sang Hyun | - |
dc.citation.volume | 111 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 48 | - |
dc.citation.endPage | 52 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROSURGERY, Vol.111(1) : 48-52, 2009 | - |
dc.identifier.rimsid | 54556 | - |
dc.type.rims | ART | - |
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