Cited 8 times in
Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes
DC Field | Value | Language |
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dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2019-07-23T06:52:14Z | - |
dc.date.available | 2019-07-23T06:52:14Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 0161-6412 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/170348 | - |
dc.description.abstract | BACKGROUND: Coil embolization with multiple overlapping stents was performed as an alternative treatment option for blood blister-like aneurysms (BBAs). However, coil placement into the BBAs has the inherent risks of rupture and regrowth. We describe a safe dense coil packing technique into and just proximal of BBAs using a semi-jailing technique for the treatment of BBAs of the internal carotid artery (ICA) and report the long-term clinical outcomes. METHODS: The technique involves the partial deployment of a self-expanding and retrievable stent from the ICA bifurcation to the mid-portion of a BBA followed by coil embolization with gradual unsheathing of the stent from the BBA to its just proximal portion. Seventeen patients were treated using this technique (10 women; mean age, 47.9 ± 11 years; overall mean clinical follow-up period, 42.3 ± 22.8 months). Technique safety and feasibility, and follow-up angiographic results and clinical outcomes (modified Rankin Scale, mRS) were evaluated. RESULTS: Procedures were successfully applied without any procedure-related complications. Immediate post-treatment angiograms showed total obliteration of the BBAs in all 17 patients. Follow-up angiograms, which were available in 15 (88.2%) patients, showed complete resolution of BBAs. Fourteen (82.4%) of 17 patients achieved favorable clinical outcomes (mRS ≤ 2). CONCLUSIONS: Forward deployed coil embolization with multiple overlapping stents offers a safe and effective reconstructive endovascular technique for the treatment of the BBAs. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Taylor & Francis | - |
dc.relation.isPartOf | NEUROLOGICAL RESEARCH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aneurysm, Ruptured/complications | - |
dc.subject.MESH | Aneurysm, Ruptured/surgery | - |
dc.subject.MESH | Blood Vessel Prosthesis | - |
dc.subject.MESH | Carotid Artery Diseases/complications | - |
dc.subject.MESH | Carotid Artery, Internal/surgery | - |
dc.subject.MESH | Embolization, Therapeutic/methods | - |
dc.subject.MESH | Endovascular Procedures | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Stents/adverse effects | - |
dc.subject.MESH | Subarachnoid Hemorrhage/complications | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Myeong Jin Kim | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.contributor.googleauthor | Yong Sam Shin | - |
dc.contributor.googleauthor | Yong Cheol Lim | - |
dc.identifier.doi | 10.1080/01616412.2019.1584424 | - |
dc.contributor.localId | A03731 | - |
dc.relation.journalcode | J02337 | - |
dc.identifier.eissn | 1743-1328 | - |
dc.identifier.pmid | 30821662 | - |
dc.identifier.url | https://www.tandfonline.com/doi/full/10.1080/01616412.2019.1584424 | - |
dc.subject.keyword | Bloodblister–like aneurysm | - |
dc.subject.keyword | multipleoverlappingstents | - |
dc.subject.keyword | stent-assisted coiling | - |
dc.subject.keyword | subarachnoid hemorrhage | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | 정준호 | - |
dc.citation.volume | 41 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 562 | - |
dc.citation.endPage | 568 | - |
dc.identifier.bibliographicCitation | NEUROLOGICAL RESEARCH, Vol.41(6) : 562-568, 2019 | - |
dc.identifier.rimsid | 61849 | - |
dc.type.rims | ART | - |
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