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Preliminary experience with self-expanding closed-cell stent placement in small arteries less than 2 mm in diameter for the treatment of intracranial aneurysms

DC Field Value Language
dc.contributor.author주진양-
dc.contributor.author홍창기-
dc.contributor.author김용배-
dc.contributor.author서상현-
dc.contributor.author정준호-
dc.date.accessioned2016-02-04T11:27:55Z-
dc.date.available2016-02-04T11:27:55Z-
dc.date.issued2015-
dc.identifier.issn0022-3085-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140482-
dc.description.abstractOBJECT: The purpose of this study was to report the authors' preliminary experience using self-expanding closed-cell stents deployed in small arteries (< 2 mm in diameter) to treat intracranial aneurysms. METHODS: A total of 31 patients were studied. All subjects met the following criteria: 1) they received an Enterprise stent for treatment of a wide-necked aneurysm or a dissecting aneurysm or as part of a stent-salvage procedure; and 2) they had an Enterprise stent deployed in a small parent artery (< 2 mm in diameter) that had no atherosclerotic stenosis. Procedure-related complications and follow-up sizes of the parent arteries were evaluated for safety and patency. RESULTS: There were 16 ruptured aneurysms and 15 unruptured aneurysms. Three (9.7%) of the 31 patients experienced procedure-related complications, and they all were asymptomatic. Follow-up angiography was performed in 27 patients (87.1%) (at a mean 15.5 months after surgery). Parent arteries with 2 acute angles (n = 4) were occluded in 3 cases (75.0%), and those with no acute angles (n = 13) or 1 acute angle (n = 6) showed 100% patency on follow-up angiography. There was a significant difference between the follow-up sizes (mean 1.72 ± 0.30 mm) of parent arteries and their sizes (mean 1.59 ± 0.26 mm) before treatment (95% CI - 0.254 to - 0.009 mm; p = 0.037, paired-samples t-test). CONCLUSIONS: In the current series the deployment of self-expanding closed-cell stents in small arteries was safe and resulted in good patency, especially when the stents were deployed in segments of the parent artery with no acute angles or only 1 acute angle.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1503~1510-
dc.relation.isPartOfJOURNAL OF NEUROSURGERY-
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.MESHAged-
dc.subject.MESHAneurysm, Ruptured/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Aneurysm/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHStents*-
dc.subject.MESHTreatment Outcome-
dc.titlePreliminary experience with self-expanding closed-cell stent placement in small arteries less than 2 mm in diameter for the treatment of intracranial aneurysms-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorJoonho Chung-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorChang Ki Hong-
dc.contributor.googleauthorJin Yang Joo-
dc.contributor.googleauthorYong Cheol Lim-
dc.contributor.googleauthorYong Sam Shin-
dc.contributor.googleauthorYong Bae Kim-
dc.identifier.doi10.3171/2014.11.JNS14435-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03959-
dc.contributor.localIdA04445-
dc.contributor.localIdA01886-
dc.contributor.localIdA03731-
dc.contributor.localIdA00743-
dc.relation.journalcodeJ01636-
dc.identifier.eissn1933-0693-
dc.identifier.pmid25555078-
dc.identifier.urlhttp://thejns.org/doi/10.3171/2014.11.JNS14435-
dc.subject.keywordDSA = digital subtraction angiography-
dc.subject.keywordEVT = endovascular treatment-
dc.subject.keywordEnterprise stent-
dc.subject.keywordGOS = Glasgow Outcome Scale-
dc.subject.keywordLVIS = Low-Profile Visualized Intraluminal Stent-
dc.subject.keywordclosed-cell stent-
dc.subject.keywordintracranial aneurysm-
dc.subject.keywordself-expanding stent-
dc.subject.keywordsmall parent vessels-
dc.subject.keywordvascular disorders-
dc.contributor.alternativeNameJoo, Jin Yang-
dc.contributor.alternativeNameHong, Chang Ki-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.affiliatedAuthorJoo, Jin Yang-
dc.contributor.affiliatedAuthorHong, Chang Ki-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.rights.accessRightsnot free-
dc.citation.volume122-
dc.citation.number6-
dc.citation.startPage1503-
dc.citation.endPage1510-
dc.identifier.bibliographicCitationJOURNAL OF NEUROSURGERY, Vol.122(6) : 1503-1510, 2015-
dc.identifier.rimsid29930-
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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