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내경동맥 체부에 발생한 동맥류-치료와 결과-
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안정용 | - |
dc.contributor.author | 주진양 | - |
dc.date.accessioned | 2015-06-10T12:49:36Z | - |
dc.date.available | 2015-06-10T12:49:36Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 1738-0499 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/110515 | - |
dc.description.abstract | Objective:Internal carotid artery (ICA) trunk aneurysms are rare constituting about 0.9 to 6.5% of all ICA aneurysms. They may arise from medial, lateral, ventral (posterior) or dorsal (anterior) walls of ICA. The most frequent site of origin is dorsomedial, followed by dorsal, dorsolateral and ventromedial wall. ICA dorsal wall aneurysms can be divided into the saccular type and blister type, which have different shapes, wall histological features and surgical tactics. The authors report an analysis of 27 cases of ICA trunk aneurysms treated with surgical clipping or GDC embolization. Methods:Of 145 cases of ICA aneurysms from May 1998 to December 2005, we found 27 cases (17.5%) of such unusual aneurysms located at nonbranching sites of the intradural ICA. Features of neuroimagings and medical records were analyzed. Results:Out of 27 aneurysms, 10 were located at ICA dorsal wall, 8 aneurysms were developed at ICA medialwall. Seven aneurysms originated from ICA ventral wall. Seven cases presented with subarachnoid hemorrhage and 20 cases were found unruptured. Two patients had blister-like aneurysm, and the others had saccular aneurysms. All patients were treated successfully with microsurgical clippings or GDC embolization. Microsurgical clipping were performed in 14 cases and among them, removal of anterior clinoid process was done in 12 cases. Eleven aneurysms were occluded with detachabel coil. Two patients underwent balloon occlusion of ICA. Blister aneurysm was clipped including a portion of the normal ICA wall. Good outcomes were obtained in 25 patients, and two patients were dead. Conclusion:ICA trunk aneurysms are developed at any site of ICA circumference. Therefore we consider a variety of treatment strategies. On clipping of aneurysms at proximal ICA trunk, removal of anterior clinoid process is important. Endovascular treatment may be good an alternative. However, surgical treatment is essential for blister like aneurysms. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 91~95 | - |
dc.relation.isPartOf | Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 내경동맥 체부에 발생한 동맥류-치료와 결과- | - |
dc.title.alternative | Internal Carotid Artery Trunk Aneurysms -Management and Outcome - | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | 홍창기 | - |
dc.contributor.googleauthor | 안정용 | - |
dc.contributor.googleauthor | 주진양 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02260 | - |
dc.contributor.localId | A03959 | - |
dc.relation.journalcode | J01975 | - |
dc.subject.keyword | Cerebral aneurysm | - |
dc.subject.keyword | Internal carotid artery | - |
dc.subject.keyword | Blister-like 무뎌교느 | - |
dc.contributor.alternativeName | Ahn, Jung Yong | - |
dc.contributor.alternativeName | Joo, Jin Yang | - |
dc.contributor.affiliatedAuthor | Ahn, Jung Yong | - |
dc.contributor.affiliatedAuthor | Joo, Jin Yang | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 8 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 91 | - |
dc.citation.endPage | 95 | - |
dc.identifier.bibliographicCitation | Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지), Vol.8(2) : 91-95, 2006 | - |
dc.identifier.rimsid | 39223 | - |
dc.type.rims | ART | - |
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