Cited 4 times in
Combination of Multicatheter Plus Stent or Balloon for Treatment of Complex Aneurysms
DC Field | Value | Language |
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dc.contributor.author | 김동익 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 김진우 | - |
dc.contributor.author | 박근영 | - |
dc.date.accessioned | 2017-02-24T03:45:45Z | - |
dc.date.available | 2017-02-24T03:45:45Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0195-6108 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146433 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.format.extent | 311~316 | - |
dc.publisher | American Society of Neuroradiology | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF NEURORADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Catheters | - |
dc.subject.MESH | Embolization, Therapeutic/instrumentation* | - |
dc.subject.MESH | Embolization, Therapeutic/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/therapy* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Combination of Multicatheter Plus Stent or Balloon for Treatment of Complex Aneurysms | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Radiology | - |
dc.contributor.googleauthor | H.J. Jeon | - |
dc.contributor.googleauthor | B.M. Kim | - |
dc.contributor.googleauthor | D.J. Kim | - |
dc.contributor.googleauthor | K.Y. Park | - |
dc.contributor.googleauthor | J.W. Kim | - |
dc.contributor.googleauthor | D.I. Kim | - |
dc.identifier.doi | 10.3174/ajnr.A4526 | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01027 | - |
dc.contributor.localId | A01442 | - |
dc.relation.journalcode | J00095 | - |
dc.identifier.eissn | 1936-959X | - |
dc.identifier.pmid | 26381558 | - |
dc.identifier.url | http://www.ajnr.org/content/37/2/311 | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Kim, Jin Woo | - |
dc.contributor.alternativeName | Park, Keun Young | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Kim, Jin Woo | - |
dc.contributor.affiliatedAuthor | Park, Keun Young | - |
dc.citation.volume | 37 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 311 | - |
dc.citation.endPage | 316 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF NEURORADIOLOGY, Vol.37(2) : 311-316, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 48421 | - |
dc.type.rims | ART | - |
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