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Clinical presentation and outcomes of coil embolization of remnant or recurred intracranial aneurysm after clipping
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김동익 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 서상현 | - |
dc.date.accessioned | 2015-04-23T16:40:56Z | - |
dc.date.available | 2015-04-23T16:40:56Z | - |
dc.date.issued | 2010 | - |
dc.identifier.issn | 0148-396X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/101027 | - |
dc.description.abstract | OBJECTIVE: 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.statementOfResponsibility | open | - |
dc.format.extent | 1128~1133 | - |
dc.relation.isPartOf | 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 | Catheters/standards | - |
dc.subject.MESH | Catheters/trends | - |
dc.subject.MESH | Cerebral Arteries/diagnostic imaging | - |
dc.subject.MESH | Cerebral Arteries/pathology | - |
dc.subject.MESH | Cerebral Arteries/surgery* | - |
dc.subject.MESH | Embolization, Therapeutic/instrumentation* | - |
dc.subject.MESH | Embolization, Therapeutic/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/diagnosis* | - |
dc.subject.MESH | Intracranial Aneurysm/diagnostic imaging | - |
dc.subject.MESH | Intracranial Aneurysm/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Outcome Assessment (Health Care)/methods* | - |
dc.subject.MESH | Prostheses and Implants | - |
dc.subject.MESH | Radiography | - |
dc.subject.MESH | Reoperation/instrumentation | - |
dc.subject.MESH | Reoperation/trends | - |
dc.subject.MESH | Secondary Prevention | - |
dc.subject.MESH | Stents/standards | - |
dc.subject.MESH | Stents/trends | - |
dc.subject.MESH | Subarachnoid Hemorrhage/diagnostic imaging | - |
dc.subject.MESH | Subarachnoid Hemorrhage/pathology | - |
dc.subject.MESH | Subarachnoid Hemorrhage/surgery | - |
dc.subject.MESH | Vascular Surgical Procedures/instrumentation* | - |
dc.subject.MESH | Vascular Surgical Procedures/methods* | - |
dc.title | Clinical presentation and outcomes of coil embolization of remnant or recurred intracranial aneurysm after clipping | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Dong Ik Kim | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Sang Hyun Suh | - |
dc.contributor.googleauthor | Yu Sam Won | - |
dc.identifier.doi | 10.1227/01.NEU.0000367998.33743.D6 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01886 | - |
dc.relation.journalcode | J02366 | - |
dc.identifier.eissn | 1524-4040 | - |
dc.identifier.pmid | 20495427 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201006000-00025&LSLINK=80&D=ovft | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Suh, Sang Hyun | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Suh, Sang Hyun | - |
dc.citation.volume | 66 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1128 | - |
dc.citation.endPage | 1133 | - |
dc.identifier.bibliographicCitation | NEUROSURGERY, Vol.66(6) : 1128-1133, 2010 | - |
dc.identifier.rimsid | 54520 | - |
dc.type.rims | ART | - |
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