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Emergent self-expanding stent placement for acute intracranial or extracranial internal carotid artery dissection with significant hemodynamic insufficiency.

DC FieldValueLanguage
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author박성일-
dc.contributor.author서상현-
dc.date.accessioned2015-04-23T17:00:08Z-
dc.date.available2015-04-23T17:00:08Z-
dc.date.issued2010-
dc.identifier.issn0195-6108-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101639-
dc.description.abstractBACKGROUND AND PURPOSE: ICAD with hemodynamic insufficiency may present with either fulminant infarct or with progressive neurologic deterioration. The purpose of this study was to evaluate the safety and efficacy of emergent self-expanding stent placement for acute intracranial or extracranial ICAD with significant hemodynamic insufficiency. MATERIALS AND METHODS: Eight patients (7 men and 1 woman; age range, 20-55 years; NIHSS score, 5-21) underwent emergent self-expanding stent placement for treatment of significant hemodynamic insufficiency due to acute ICAD. The safety and efficacy of emergent self-expanding stent placement were retrospectively evaluated. RESULTS: All patients presented with progressive (n = 6) or fluctuating (n = 2) neurologic deficits and revealed markedly decreased perfusion on CT or MR perfusion studies. Conventional angiography revealed acute occlusion (n = 2) or critical stenosis (n = 6) in intracranial (n = 3) or extracranial (n = 5) carotid arteries with a lack of sufficient collaterals. Stent placement was successful in all patients without any procedure-related complications. In all patients, hemodynamic insufficiency was corrected immediately after stent placement, and neurologic symptoms were completely resolved during several days. Mean improvement of the NIHSS score between baseline and discharge was 11.6 (range, 5-21). All patients remained neurologically intact (mRS, 0) during clinical follow-up for a mean of 21 months (range, 8-50 months). Angiographic follow-up was available for 6 patients at 3-12 months. None of the 6 patients revealed residual or in-stent restenosis. CONCLUSIONS: Self-expanding stent placement is a safe and effective option for selected patients with significant hemodynamic insufficiency due to acute intracranial or extracranial ICAD.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1529~1532-
dc.relation.isPartOfAMERICAN JOURNAL OF NEURORADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAcute Disease-
dc.subject.MESHAdult-
dc.subject.MESHCarotid Artery, Internal, Dissection/diagnostic imaging-
dc.subject.MESHCarotid Artery, Internal, Dissection/physiopathology*-
dc.subject.MESHCarotid Artery, Internal, Dissection/therapy*-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHCerebral Revascularization/instrumentation*-
dc.subject.MESHCerebral Revascularization/methods-
dc.subject.MESHCerebrovascular Circulation*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHStents*-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHYoung Adult-
dc.titleEmergent self-expanding stent placement for acute intracranial or extracranial internal carotid artery dissection with significant hemodynamic insufficiency.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorP. Jeon-
dc.contributor.googleauthorB.M. Kim-
dc.contributor.googleauthorD.I. Kim-
dc.contributor.googleauthorY.S. Shin-
dc.contributor.googleauthorK.H. Kim-
dc.contributor.googleauthorS.I. Park-
dc.contributor.googleauthorD.J. Kim-
dc.contributor.googleauthorS.H. Suh-
dc.identifier.doi10.3174/ajnr.A2115-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01510-
dc.contributor.localIdA01886-
dc.relation.journalcodeJ00095-
dc.identifier.eissn1936-959X-
dc.identifier.pmid20430849-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.citation.volume31-
dc.citation.number8-
dc.citation.startPage1529-
dc.citation.endPage1532-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF NEURORADIOLOGY, Vol.31(8) : 1529-1532, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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