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The role of endovascular treatment for ruptured distal anterior cerebral artery aneurysms: comparison with microsurgical clipping

Authors
 Keun Young Park  ;  Byung Moon Kim  ;  Yong Cheol Lim  ;  Joonho Chung  ;  Dong Joon Kim  ;  Jin Yang Joo  ;  Seung Kon Huh  ;  Dong Ik Kim  ;  Kyu Chang Lee  ;  Jae Whan Lee 
Citation
 JOURNAL OF NEUROIMAGING, Vol.25(1) : 81-86, 2015 
Journal Title
 JOURNAL OF NEUROIMAGING 
ISSN
 1051-2284 
Issue Date
2015
MeSH
Adult ; Aged ; Aneurysm, Ruptured/diagnostic imaging ; Aneurysm, Ruptured/surgery* ; Cerebral Angiography/methods ; Cerebral Revascularization/methods* ; Endovascular Procedures/methods* ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery* ; Male ; Middle Aged ; Surgery, Computer-Assisted/methods ; Treatment Outcome
Keywords
Intracranial aneurysm ; complications ; distal anterior cerebral artery ; outcome ; ruptured ; treatment
Abstract
BACKGROUND AND PURPOSE: The purpose of this study was to compare clinical outcomes and treatment-related complications between coiling and clipping for ruptured distal anterior cerebral artery (DACA) aneurysms. METHODS: Eighty-four consecutive patients (M:F = 36:48; mean 53.8 years) with ruptured DACA aneurysms were treated by either clipping (n = 46, 54.8%) or coiling (n = 38, 45.2%). The clinical outcomes and procedure-related complications were evaluated and compared between the two groups. RESULTS: Procedure-related complications tend to occur more frequently in the clipping (n = 6, 13.0%) than coiling group (n = 1, 2.6%) (P = .121). At discharge, 51 patients (60.7%) had favorable outcomes (Glasgow outcome scale [GOS], 4 or 5). There was no significant difference between the two groups in favorable outcome (63.2% vs. 58.7%; P = .677). Hunt and Hess (HH) grade (P < .001; 95% CI, 3.354-29.609) and treatment modality (P = .044; 95% CI, 1.039-16.325) were independent risk factors for poor outcome (GOS, 1-3). CONCLUSIONS: Coiling was more favorable to clipping in clinical outcomes and incidence of treatment-related complications for ruptured DACA aneurysms.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/jon.12073/abstract
DOI
10.1111/jon.12073
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Park, Keun Young(박근영)
Lee, Kyu Chang(이규창)
Lee, Jae Whan(이재환)
Chung, Joon Ho(정준호)
Joo, Jin Yang(주진양)
Huh, Seung Kon(허승곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139268
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