Cited 48 times in
MR-DWI–Positive Lesions and Symptomatic Ischemic Complications After Coiling of Unruptured Intracranial Aneurysms
DC Field | Value | Language |
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dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 김용배 | - |
dc.contributor.author | 서상현 | - |
dc.contributor.author | 이재환 | - |
dc.contributor.author | 허승곤 | - |
dc.contributor.author | 김동익 | - |
dc.date.accessioned | 2014-12-18T08:34:12Z | - |
dc.date.available | 2014-12-18T08:34:12Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0039-2499 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/86553 | - |
dc.description.abstract | BACKGROUND AND PURPOSE: The aims of this study are to evaluate the risk factors for symptomatic ischemic complication (symptomatic ischemic complication [SIC], transient ischemic attack, or stroke) and microembolisms detected as MR diffusion-weighted imaging (MR-DWI)-positive (DWI(+)) lesions, and the relationship between DWI(+) and SIC after coiling of unruptured intracranial aneurysm. METHODS: Between March 2009 and November 2011, 382 unruptured intracranial aneurysms in 343 patients underwent both coiling and posttreatment MR-DWI. The incidence of and risk factors for SIC and DWI(+), and the relationship between DWI(+) and SIC were retrospectively analyzed. RESULTS: The incidence of SIC was 4.1%. The incidence of DWI(+) was 54.5%. The number of DWI(+) lesions was significantly larger in the SIC group, than in the asymptomatic one (12.1±10.4 versus 5.0±8.7, P<0.00). The cutoff value of DWI(+) for predicting SIC was ≥6 (sensitivity 85.7%, specificity 70.7%). The patients with DWI(+) ≥6 was 28.6%. Of the patients with SIC, the patients with DWI(+) ≥6 was 78.6%. Patients aged≥65 years had a trend for SIC, and it was the only independent risk factor for DWI(+) ≥cutoff (n=6; 95%CI, 1.167-3.083). CONCLUSIONS: The number of DWI(+) lesions was significantly larger in the SIC group than in the asymptomatic one after coiling of unruptured intracranial aneurysm. Patients aged≥65 had a trend for SIC, and it was the only independent risk factor for the number of DWI(+) ≥cutoff value (n=6) for predicting SIC. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | STROKE | - |
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 | Age Factors | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Diffusion Magnetic Resonance Imaging* | - |
dc.subject.MESH | Embolization, Therapeutic/adverse effects* | - |
dc.subject.MESH | Embolization, Therapeutic/instrumentation | - |
dc.subject.MESH | Embolization, Therapeutic/methods | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Intracranial Aneurysm/therapy* | - |
dc.subject.MESH | Ischemic Attack, Transient/epidemiology* | - |
dc.subject.MESH | Ischemic Attack, Transient/pathology* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Stroke/epidemiology* | - |
dc.subject.MESH | Stroke/pathology* | - |
dc.title | MR-DWI–Positive Lesions and Symptomatic Ischemic Complications After Coiling of Unruptured Intracranial Aneurysms | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | Dong-Hun Kang | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Sang Hyun Suh | - |
dc.contributor.googleauthor | Dong Ik Kim | - |
dc.contributor.googleauthor | Yong-Sun Kim | - |
dc.contributor.googleauthor | Seung Kon Huh | - |
dc.contributor.googleauthor | Jaechan Park | - |
dc.contributor.googleauthor | Jae Whan Lee | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.identifier.doi | 10.1161/STROKEAHA.112.669853 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01886 | - |
dc.contributor.localId | A03088 | - |
dc.contributor.localId | A04356 | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00743 | - |
dc.relation.journalcode | J02690 | - |
dc.identifier.eissn | 1524-4628 | - |
dc.identifier.pmid | 23204052 | - |
dc.subject.keyword | Age Factors | - |
dc.subject.keyword | Aged | - |
dc.subject.keyword | Aged, 80 and over | - |
dc.subject.keyword | Diffusion Magnetic Resonance Imaging* | - |
dc.subject.keyword | Embolization, Therapeutic/adverse effects* | - |
dc.subject.keyword | Embolization, Therapeutic/instrumentation | - |
dc.subject.keyword | Embolization, Therapeutic/methods | - |
dc.subject.keyword | Female | - |
dc.subject.keyword | Humans | - |
dc.subject.keyword | Incidence | - |
dc.subject.keyword | Intracranial Aneurysm/therapy* | - |
dc.subject.keyword | Ischemic Attack, Transient/epidemiology* | - |
dc.subject.keyword | Ischemic Attack, Transient/pathology* | - |
dc.subject.keyword | Male | - |
dc.subject.keyword | Middle Aged | - |
dc.subject.keyword | Retrospective Studies | - |
dc.subject.keyword | Risk Factors | - |
dc.subject.keyword | Sensitivity and Specificity | - |
dc.subject.keyword | Stroke/epidemiology* | - |
dc.subject.keyword | Stroke/pathology* | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Kim, Yong Bae | - |
dc.contributor.alternativeName | Suh, Sang Hyun | - |
dc.contributor.alternativeName | Lee, Jae Whan | - |
dc.contributor.alternativeName | Huh, Seung Kon | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Suh, Sang Hyun | - |
dc.contributor.affiliatedAuthor | Lee, Jae Whan | - |
dc.contributor.affiliatedAuthor | Huh, Seung Kon | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Yong Bae | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 44 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 789 | - |
dc.citation.endPage | 791 | - |
dc.identifier.bibliographicCitation | STROKE, Vol.44(3) : 789-791, 2013 | - |
dc.identifier.rimsid | 29053 | - |
dc.type.rims | ART | - |
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