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Clinical presentation and outcomes of coil embolization of remnant or recurred intracranial aneurysm after clipping

DC FieldValueLanguage
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author서상현-
dc.date.accessioned2015-04-23T16:40:56Z-
dc.date.available2015-04-23T16:40:56Z-
dc.date.issued2010-
dc.identifier.issn0148-396X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101027-
dc.description.abstractOBJECTIVE: To evaluate clinical presentation, safety, techniques, clinical and angiographic outcomes, and prognostic factors of coiling for remnant/recurred aneurysm after clipping. METHODS: Twenty-four consecutive patients (11 men and 13 women; mean age, 52 years) with 24 recurred/remnant aneurysms after clipping underwent coil embolization between September 2000 and December 2008. Clinical presentations of remnant/recurred aneurysms, safety, techniques, clinical and angiographic outcomes, and prognostic factors of coil embolization were retrospectively evaluated. RESULTS: Twenty-two aneurysms initially presented with subarachnoid hemorrhage and the other two, with mass effect. Eight aneurysms presented with rebleeding and 16 aneurysms were found on follow-up CT angiogram (n = 12) or catheter angiogram (n = 4). The interval between clipping and coiling ranged from 8 days to 114 months (mean, 31 months). Twelve were treated by using single-catheter, 6 by stent-assisted, 4 by multicatheter, 1 by both balloon- and catheter-assisted, and 1 by balloon-in-stent technique. Immediate postembolization angiogram revealed complete obliteration (n = 19) or residual neck (n = 5). Procedure-related permanent morbidity and mortality rates were 4.2% (1 of 24) and 0%, respectively. There was no rebleeding during clinical follow-up for 3 to 82 months (mean, 24 months). Presentation with rupture after clipping was the only significant predictor of poor outcome (P < .05). CONCLUSION: Coiling seems to be a safe and effective retreatment option for remnant/ recurred aneurysm after clipping. Presentation with rupture after clipping is the only predictor of poor outcome. For routine/regular follow-up after clipping, CT angiography may be the imaging modality advisable for detection of remnant/recurred aneurysm.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1128~1133-
dc.relation.isPartOfNEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCatheters/standards-
dc.subject.MESHCatheters/trends-
dc.subject.MESHCerebral Arteries/diagnostic imaging-
dc.subject.MESHCerebral Arteries/pathology-
dc.subject.MESHCerebral Arteries/surgery*-
dc.subject.MESHEmbolization, Therapeutic/instrumentation*-
dc.subject.MESHEmbolization, Therapeutic/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Aneurysm/diagnosis*-
dc.subject.MESHIntracranial Aneurysm/diagnostic imaging-
dc.subject.MESHIntracranial Aneurysm/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome Assessment (Health Care)/methods*-
dc.subject.MESHProstheses and Implants-
dc.subject.MESHRadiography-
dc.subject.MESHReoperation/instrumentation-
dc.subject.MESHReoperation/trends-
dc.subject.MESHSecondary Prevention-
dc.subject.MESHStents/standards-
dc.subject.MESHStents/trends-
dc.subject.MESHSubarachnoid Hemorrhage/diagnostic imaging-
dc.subject.MESHSubarachnoid Hemorrhage/pathology-
dc.subject.MESHSubarachnoid Hemorrhage/surgery-
dc.subject.MESHVascular Surgical Procedures/instrumentation*-
dc.subject.MESHVascular Surgical Procedures/methods*-
dc.titleClinical presentation and outcomes of coil embolization of remnant or recurred intracranial aneurysm after clipping-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorDong Ik Kim-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorYu Sam Won-
dc.identifier.doi10.1227/01.NEU.0000367998.33743.D6-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01886-
dc.relation.journalcodeJ02366-
dc.identifier.eissn1524-4040-
dc.identifier.pmid20495427-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201006000-00025&LSLINK=80&D=ovft-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.citation.volume66-
dc.citation.number6-
dc.citation.startPage1128-
dc.citation.endPage1133-
dc.identifier.bibliographicCitationNEUROSURGERY, Vol.66(6) : 1128-1133, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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