Cited 0 times in
Coil embolization of unruptured middle cerebral artery aneurysms.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김동익 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 박성일 | - |
dc.contributor.author | 서상현 | - |
dc.date.accessioned | 2014-12-20T16:44:46Z | - |
dc.date.available | 2014-12-20T16:44:46Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0148-396X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93298 | - |
dc.description.abstract | BACKGROUND: Since the International Subarachnoid Aneurysmal Trial, endovascular coiling has been increasingly used as primary treatment option for ruptured or unruptured aneurysms that are feasible for coiling. OBJECTIVE: To evaluate the feasibility and clinical and angiographic outcomes of coiling for unruptured middle cerebral artery aneurysms. METHODS: The records of 70 consecutive patients with 76 unruptured middle cerebral artery aneurysms who underwent coiling were retrospectively evaluated. RESULTS: Thirty-one aneurysms were treated by single-catheter, 18 by multicatheter, 11 by balloon-assisted, 13 by stent-assisted, and 3 by a combination of multicatheter and balloon-assisted techniques. Coiling was accomplished in 75 but failed in 1 aneurysm. One patient died of consequences of subarachnoid hemorrhage occurring 9 hours after coiling. One intraprocedural aneurysm rupture occurred, which was controlled by further coil insertions and left no sequelae. There were 1 cortical infarction and 1 basal ganglia infarction, both of which recovered completely. Treatment-related permanent morbidity and mortality rates were 0% and 1.4%, respectively. Postembolization control angiography revealed 40 complete, 30 neck remnant, and 5 incomplete occlusions. Clinical follow-up was available in all patients (mean, 25 months; range, 7-105 months). There was no subarachnoid hemorrhage during follow-up, but 1 death resulting from acute myocardial infarction occurred 3 months after coiling. None of the surviving patients had any neurological deterioration. Follow-up angiography was available in 69 aneurysms at 6 to 24 months (mean, 12 months). Three major and 6 minor recurrences were detected. All 3 major recurrent aneurysms were re-treated by coiling without any complications. CONCLUSION: Most unruptured middle cerebral artery aneurysms could be safely treated by coiling with acceptable short-term to midterm outcomes. Our results warrant further study with a longer follow-up period in a larger population. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 346~353 | - |
dc.relation.isPartOf | NEUROSURGERY | - |
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 | Cerebral Angiography | - |
dc.subject.MESH | Embolization, Therapeutic/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/diagnostic imaging* | - |
dc.subject.MESH | Intracranial Aneurysm/therapy* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Coil embolization of unruptured middle cerebral artery aneurysms. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Dong Ik Kim | - |
dc.contributor.googleauthor | Sung Il Park | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Sang Hyun Suh | - |
dc.contributor.googleauthor | Yu Sam Won | - |
dc.identifier.doi | 10.1227/NEU.0b013e3182035fdc | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01510 | - |
dc.contributor.localId | A01886 | - |
dc.relation.journalcode | J02366 | - |
dc.identifier.eissn | 1524-4040 | - |
dc.identifier.pmid | 21135721 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201102000-00017&LSLINK=80&D=ovft | - |
dc.subject.keyword | Intracranial aneurysm | - |
dc.subject.keyword | Coil embolization | - |
dc.subject.keyword | Middle cerebral artery | - |
dc.subject.keyword | Unruptured aneurysm | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Park, Sung Il | - |
dc.contributor.alternativeName | Suh, Sang Hyun | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Park, Sung Il | - |
dc.contributor.affiliatedAuthor | Suh, Sang Hyun | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 68 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 346 | - |
dc.citation.endPage | 353 | - |
dc.identifier.bibliographicCitation | NEUROSURGERY, Vol.68(2) : 346-353, 2011 | - |
dc.identifier.rimsid | 27119 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.