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Pre-operative embolisation of internal carotid artery branches and pial vessels in hypervascular brain tumours

DC Field Value Language
dc.contributor.author서상현-
dc.contributor.author안정용-
dc.contributor.author윤영설-
dc.contributor.author이규성-
dc.contributor.author장종희-
dc.date.accessioned2015-05-19T17:27:07Z-
dc.date.available2015-05-19T17:27:07Z-
dc.date.issued2008-
dc.identifier.issn0001-6268-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/108173-
dc.description.abstractBACKGROUND: Pre-operative embolisation is an effective method used to reduce intra-operative bleeding and operative difficulty in hypervascular brain tumour surgery. However, embolisation of the internal carotid artery (ICA) and pial tumour feeding branches has certain limitations. METHODS: From March 2000 to November 2006, 8 patients underwent superselective embolisation for hypervascular brain tumour. Seven tumours were extra-axial (6 meningiomas, 1 solitary fibrous tumour) and 1 was intra-axial (metastatic hepatocellular carcinoma). RESULTS: In all patients, feeding vessels from ICA branches or pial arteries were successfully embolised using superselective microcatheterisation. A provocative test was applied in 4 patients who had tumours adjacent to the motor cortex. Angiographic devascularisation was slight to extensive. Mean devascularisation on post-embolisation MRI ranged from 40 to 80% (mean 63.8%). One patient (12.5%) suffered an embolisation-related complication (loss of choroidal brush), but was not clinically worse because of the pre-existing blindness. CONCLUSIONS: Superselective embolisation of ICA branches or pial vessels should be performed if several conditions are met, especially angiographic findings, pre-existing neurologic deficits, provocative test, and technical feasibility. If the ICA embolisation for hypervascular tumour is successfully achieved, the bleeding loss and operative risk can be reduced.-
dc.description.statementOfResponsibilityopen-
dc.format.extent447~452-
dc.relation.isPartOfACTA NEUROCHIRURGICA-
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.MESHBlood Loss, Surgical/prevention & control-
dc.subject.MESHBrain Neoplasms/blood supply*-
dc.subject.MESHBrain Neoplasms/diagnosis-
dc.subject.MESHBrain Neoplasms/secondary-
dc.subject.MESHBrain Neoplasms/therapy*-
dc.subject.MESHCarcinoma, Hepatocellular/blood supply-
dc.subject.MESHCarcinoma, Hepatocellular/secondary-
dc.subject.MESHCarcinoma, Hepatocellular/therapy-
dc.subject.MESHCarotid Artery, Internal*-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHEmbolization, Therapeutic*/adverse effects-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLiver Neoplasms/pathology-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMeningeal Neoplasms/blood supply-
dc.subject.MESHMeningeal Neoplasms/therapy-
dc.subject.MESHMeningioma/blood supply-
dc.subject.MESHMeningioma/therapy-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeurosurgical Procedures*-
dc.subject.MESHPia Mater/blood supply*-
dc.subject.MESHPreoperative Care*-
dc.titlePre-operative embolisation of internal carotid artery branches and pial vessels in hypervascular brain tumours-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorYoon YS-
dc.contributor.googleauthorAhn JY-
dc.contributor.googleauthorChang JH-
dc.contributor.googleauthorCho JH-
dc.contributor.googleauthorSuh SH-
dc.contributor.googleauthorLee BH-
dc.contributor.googleauthorLee KS.-
dc.identifier.doi10.1007/s00701-008-1513-1-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01886-
dc.contributor.localIdA02260-
dc.contributor.localIdA02578-
dc.contributor.localIdA03470-
dc.contributor.localIdA02682-
dc.relation.journalcodeJ00018-
dc.identifier.eissn0942-0940-
dc.identifier.urlhttp://link.springer.com/article/10.1007/s00701-008-1513-1-
dc.subject.keywordAdult-
dc.subject.keywordBlood Loss, Surgical/prevention & control-
dc.subject.keywordBrain Neoplasms/blood supply*-
dc.subject.keywordBrain Neoplasms/diagnosis-
dc.subject.keywordBrain Neoplasms/secondary-
dc.subject.keywordBrain Neoplasms/therapy*-
dc.subject.keywordCarcinoma, Hepatocellular/blood supply-
dc.subject.keywordCarcinoma, Hepatocellular/secondary-
dc.subject.keywordCarcinoma, Hepatocellular/therapy-
dc.subject.keywordCarotid Artery, Internal*-
dc.subject.keywordCerebral Angiography-
dc.subject.keywordEmbolization, Therapeutic*/adverse effects-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordLiver Neoplasms/pathology-
dc.subject.keywordMagnetic Resonance Imaging-
dc.subject.keywordMale-
dc.subject.keywordMeningeal Neoplasms/blood supply-
dc.subject.keywordMeningeal Neoplasms/therapy-
dc.subject.keywordMeningioma/blood supply-
dc.subject.keywordMeningioma/therapy-
dc.subject.keywordMiddle Aged-
dc.subject.keywordNeurosurgical Procedures*-
dc.subject.keywordPia Mater/blood supply*-
dc.subject.keywordPreoperative Care*-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameAhn, Jung Yong-
dc.contributor.alternativeNameYoon, Young Sul-
dc.contributor.alternativeNameLee, Kyu Sung-
dc.contributor.alternativeNameChang, Jong Hee-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorAhn, Jung Yong-
dc.contributor.affiliatedAuthorYoon, Young Sul-
dc.contributor.affiliatedAuthorChang, Jong Hee-
dc.contributor.affiliatedAuthorLee, Kyu Sung-
dc.rights.accessRightsnot free-
dc.citation.volume150-
dc.citation.number5-
dc.citation.startPage447-
dc.citation.endPage452-
dc.identifier.bibliographicCitationACTA NEUROCHIRURGICA, Vol.150(5) : 447-452, 2008-
dc.identifier.rimsid35231-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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