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Combination of Multicatheter Plus Stent or Balloon for Treatment of Complex Aneurysms

Authors
 H.J. Jeon  ;  B.M. Kim  ;  D.J. Kim  ;  K.Y. Park  ;  J.W. Kim  ;  D.I. Kim 
Citation
 American Journal of Neuroradiology, Vol.37(2) : 311-316, 2016 
Journal Title
 American Journal of Neuroradiology 
ISSN
 0195-6108 
Issue Date
2016
MeSH
Adult ; Aged ; Catheters ; Embolization, Therapeutic/instrumentation* ; Embolization, Therapeutic/methods* ; Female ; Humans ; Intracranial Aneurysm/therapy* ; Male ; Middle Aged ; Retrospective Studies ; Stents ; Treatment Outcome
Abstract
BACKGROUND AND PURPOSE: Coiling of complex aneurysms is still difficult even with current adjuvant techniques. This study sought to evaluate the safety and effectiveness of a combination of multicatheter plus stent or balloon for the treatment of complex aneurysms. MATERIALS AND METHODS: All complex aneurysms that underwent coiling with the combination technique were identified from prospectively maintained neurointerventional data bases. "Complex aneurysm" was defined as a wide-neck aneurysm with branch incorporation into or a deep lobulation of the sac. The clinical and angiographic outcomes were retrospectively analyzed. RESULTS: Sixty-two complex aneurysms (12 ruptured, 50 unruptured) in 62 patients (mean age, 57 years; male/female ratio, 12:50) were treated with a combination technique by using a multicatheter plus stent (n = 42, 3 ruptured) or balloon (n = 20, 9 ruptured). Treatment-related morbidity (grade 3 hemiparesis) occurred in 1 patient (1.6%). Except for 1 patient who had treatment-related morbidity, none of the other patients with unruptured aneurysms developed new neurologic symptoms at discharge. Nine of the 12 patients with ruptured aneurysms had good outcomes (Glasgow Outcome Score, 4 or 5) at the latest follow-up (mean, 32 months; range, 6-72 months), and 1 patient died from an initial SAH. Posttreatment control angiograms revealed complete occlusion in 27, neck remnant in 34, and incomplete occlusion in 1 aneurysm. At least 1 follow-up catheter or MR angiogram was available in 80.6% (n = 50) (mean, 21 months; range, 6-65 months). There were 4 minor and 3 major recurrences (14.0%). CONCLUSIONS: In this case series, the combination technique by using multicatheter plus stent or balloon seemed safe and effective for the treatment of complex aneurysms.
Full Text
http://www.ajnr.org/content/37/2/311
DOI
10.3174/ajnr.A4526
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
Kim, Jin Woo(김진우)
Park, Keun Young(박근영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146433
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