Cited 19 times in
Are blood blister-like aneurysms a specific type of dissection? A comparative study of blood blister-like aneurysms and ruptured mizutani type 4 vertebral artery dissections.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2015-12-28T11:07:41Z | - |
dc.date.available | 2015-12-28T11:07:41Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/138752 | - |
dc.description.abstract | OBJECTIVE: Blood blister-like aneurysms (BBAs) resemble arterial dissections. The purpose of this study was to investigate the relationship between these two disease entities and highlight commonalities and distinct features. METHODS: Among 871 consecutive patients with aneurysmal subarachnoid hemorrhage, 11 BBAs of internal carotid artery and seven vertebral artery dissections (VADs) with a short segmental eccentric dilatation (Mizutani type 4), which is morphologically similar to a BBA, were selected. The following clinical factors were studied in each group : age, gender, risk factors, Hunt and Hess grade (HHG), Fisher grade (FG), vasospasms, hydrocephalus, perioperative rebleeding rate, and treatment outcome. RESULTS: The mean age was 47.9 years in the BBAs group and 46.4 years in the type 4 VADs group. All the BBA patients were female, whereas there was a slight male predominance in the type 4 VAD group (male : female ratio of 4 : 3). In the BBA and type 4 VAD groups that underwent less aggressive treatment to save the parent artery, 29% (n=2/7) and 66.6% (n=2/3), respectively, eventually required retreatment. Perioperative rebleeding occurred in 72.7% (n=8) and 28.6% (n=2) of patients in the BBA and type 4 VAD groups, respectively. There was no statistical difference in the other clinical factors in both groups, except for the male dominancy in the type 4 VAD group (p=0.011). CONCLUSION: BBAs and ruptured type 4 VADs have a similar morphological appearance but there is a distinct clinical feature in gender and perioperative rebleeding rates. Complete isolation of an aneurysm from the parent artery might be the most important discipline for the treatment of these diseases. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 395~399 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Are blood blister-like aneurysms a specific type of dissection? A comparative study of blood blister-like aneurysms and ruptured mizutani type 4 vertebral artery dissections. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | Sook Young Sim | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.contributor.googleauthor | Yong Sam Shin | - |
dc.identifier.doi | 10.3340/jkns.2014.56.5.395 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03731 | - |
dc.relation.journalcode | J01520 | - |
dc.identifier.eissn | 1598-7876 | - |
dc.identifier.pmid | 25535516 | - |
dc.subject.keyword | Aneurysm | - |
dc.subject.keyword | Dissection | - |
dc.subject.keyword | Internal carotid artery | - |
dc.subject.keyword | Subarachnoid hemorrhage | - |
dc.subject.keyword | Vertebral artery | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Chung, Joon Ho | - |
dc.citation.volume | 56 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 395 | - |
dc.citation.endPage | 399 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, Vol.56(5) : 395-399, 2014 | - |
dc.identifier.rimsid | 56467 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.