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Multidisciplinary management for the treatment of proximal posterior inferior cerebellar artery 무뎌교는

DC FieldValueLanguage
dc.contributor.author김용배-
dc.contributor.author서상현-
dc.contributor.author조광천-
dc.contributor.author주진양-
dc.contributor.author홍창기-
dc.date.accessioned2018-07-20T07:58:44Z-
dc.date.available2018-07-20T07:58:44Z-
dc.date.issued2017-
dc.identifier.issn0161-6412-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/160724-
dc.description.abstractOBJECTIVES: Aneurysms of the proximal posterior inferior cerebellar artery (PICA) are rare. The management of proximal PICA aneurysms is challenging with either surgical or endovascular treatment. We report our successful experience of treating PICA aneurysms with a multimodal approach. METHODS: Of 2382 treated aneurysms, 22 aneurysms in 21 patients (male:female 8:13, mean age 48.9 years) were enrolled from March 1998 to December 2015. We treated the aneurysms with a multimodal approach and performed angiography to examine aneurysm regrowth at the 12 months follow-up. Clinical outcomes were evaluated based on the modified Rankin Score (mRS) at the time of discharge and 12 months postoperatively. The treatment modality was mainly dependent on the character of the aneurysms and the clinical presentation of the patients. RESULTS: Microsurgery was performed in seven patients, which entailed proximal occlusion with distal revascularization in two and microsurgical clipping in five. Endovascular treatment was performed in 10 patients because of a serious medical condition, or vertebral artery (VA)/ or PICA tortuosity. Four were treated with coil embolization and six with stent or balloon-assisted coil embolization. Combined surgical and endovascular treatment was applied in four patients. They were treated with distal revascularization followed by occlusion with coils of the aneurysm-incorporated PICA. All patients achieved complete cure of the PICA aneurysms without complications except for one case of cerebrospinal fluid (CSF) leakage. DISCUSSION: Endovascular and microvascular neurosurgeons should work closely in managing these challenging problems. Neurosurgeons should consider multimodal treatment in these cases including trapping after occipital artery (OA)-PICA bypass.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherTaylor & Francis-
dc.relation.isPartOfNEUROLOGICAL RESEARCH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHCerebral Arteries/diagnostic imaging-
dc.subject.MESHCerebral Arteries/surgery-
dc.subject.MESHDisease Management-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Aneurysm/diagnostic imaging-
dc.subject.MESHIntracranial Aneurysm/therapy-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Surgical Procedures/methods-
dc.subject.MESHVertebral Artery/diagnostic imaging-
dc.subject.MESHVertebral Artery/surgery-
dc.titleMultidisciplinary management for the treatment of proximal posterior inferior cerebellar artery 무뎌교는-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorKwang-Chun Cho-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorJin Yang Joo-
dc.contributor.googleauthorChang-Ki Hong-
dc.identifier.doi10.1080/01616412.2017.1298691-
dc.contributor.localIdA00743-
dc.contributor.localIdA01886-
dc.contributor.localIdA05416-
dc.contributor.localIdA03959-
dc.contributor.localIdA04445-
dc.relation.journalcodeJ02337-
dc.identifier.eissn1743-1328-
dc.identifier.pmid28256168-
dc.identifier.urlhttps://www.tandfonline.com/doi/full/10.1080/01616412.2017.1298691-
dc.subject.keywordPosterior inferior cerebellar artery-
dc.subject.keywordaneurysm-
dc.subject.keywordbypass-
dc.subject.keywordendovascular-
dc.subject.keywordsubarachnoid hemorrhage-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.alternativeNameCho, Kwang Chun-
dc.contributor.alternativeNameJoo, Jin Yang-
dc.contributor.alternativeNameHong, Chang Ki-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.contributor.affiliatedAuthorCho, Kwang Chun-
dc.contributor.affiliatedAuthorJoo, Jin Yang-
dc.contributor.affiliatedAuthorHong, Chang Ki-
dc.citation.volume39-
dc.citation.number5-
dc.citation.startPage403-
dc.citation.endPage413-
dc.identifier.bibliographicCitationNEUROLOGICAL RESEARCH, Vol.39(5) : 403-413, 2017-
dc.identifier.rimsid43226-
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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