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Preliminary experience of stent-assisted coiling of wide-necked intracranial aneurysms with a single microcatheter

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dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author박근영-
dc.contributor.author이재환-
dc.contributor.author장창기-
dc.contributor.author정준호-
dc.date.accessioned2019-12-18T00:46:43Z-
dc.date.available2019-12-18T00:46:43Z-
dc.date.issued2019-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/173216-
dc.description.abstractBACKGROUND: The purpose of this study was to report our preliminary experience of stent-assisted coiling (SAC) of wide-necked intracranial aneurysms with a single microcatheter in patients with parent arteries that were small-caliber, with stenosis, or a very tortuous course. METHODS: Between March 2018 and December 2018, we treated 394 aneurysms in 359 patients with endovascular treatment. Among 197 aneurysms treated by SAC, there were 16 cases (all wide-necked unruptured aneurysms) treated by SAC with a single microcatheter and a Neuroform Atlas stent. Follow-up angiography was performed at 6 to 12 months after SAC, and clinical follow-up was performed from 6 to 12 months in all patients. RESULTS: The reasons for SAC with a single 0.0165-in. microcatheter were small-caliber (n = 4), stenosis (n = 2), and very tortuous course (n = 10) of the parent arteries. There was no complication related to delivering or deploying the Neuroform Atlas stent as well as no failure of selecting aneurysm by cell-through technique. All patients had a modified Rankin score of 0 at discharge and at follow-up. Initial angiographic results showed six cases (37.5%) of complete occlusion. In follow-up angiographies, 12 cases (75.0%) achieved compete occlusion. CONCLUSION: When performing SAC of wide-necked intracranial aneurysms in parent arteries with small-caliber, stenosis, or a very tortuous course, cell-through SAC using a single microcatheter and a Neuroform Atlas stent within a 5 Fr- (or smaller) guiding or intermediate catheter might be a useful option.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherBioMed Central-
dc.relation.isPartOfBMC NEUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePreliminary experience of stent-assisted coiling of wide-necked intracranial aneurysms with a single microcatheter-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorKeun Young Park-
dc.contributor.googleauthorChang Ki Jang-
dc.contributor.googleauthorJae Whan Lee-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorJoonho Chung-
dc.identifier.doi10.1186/s12883-019-1470-8-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01442-
dc.contributor.localIdA03088-
dc.contributor.localIdA04794-
dc.contributor.localIdA03731-
dc.relation.journalcodeJ00368-
dc.identifier.eissn1471-2377-
dc.identifier.pmid31640586-
dc.subject.keywordEndovascular treatment-
dc.subject.keywordIntracranial aneurysm-
dc.subject.keywordNeuroform atlas-
dc.subject.keywordStent assisted coiling-
dc.subject.keywordStent through-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.affiliatedAuthor김동준-
dc.contributor.affiliatedAuthor김병문-
dc.contributor.affiliatedAuthor박근영-
dc.contributor.affiliatedAuthor이재환-
dc.contributor.affiliatedAuthor장창기-
dc.contributor.affiliatedAuthor정준호-
dc.citation.volume19-
dc.citation.number1-
dc.citation.startPage245-
dc.identifier.bibliographicCitationBMC NEUROLOGY, Vol.19(1) : 245, 2019-
dc.identifier.rimsid63681-
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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