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Coil embolization of unruptured middle cerebral artery aneurysms.

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dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author박성일-
dc.contributor.author서상현-
dc.date.accessioned2014-12-20T16:44:46Z-
dc.date.available2014-12-20T16:44:46Z-
dc.date.issued2011-
dc.identifier.issn0148-396X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/93298-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityopen-
dc.format.extent346~353-
dc.relation.isPartOfNEUROSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHEmbolization, Therapeutic/methods*-
dc.subject.MESHFemale-
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.titleCoil embolization of unruptured middle cerebral artery aneurysms.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorDong Ik Kim-
dc.contributor.googleauthorSung Il Park-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorSang Hyun Suh-
dc.contributor.googleauthorYu Sam Won-
dc.identifier.doi10.1227/NEU.0b013e3182035fdc-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01510-
dc.contributor.localIdA01886-
dc.relation.journalcodeJ02366-
dc.identifier.eissn1524-4040-
dc.identifier.pmid21135721-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006123-201102000-00017&LSLINK=80&D=ovft-
dc.subject.keywordIntracranial aneurysm-
dc.subject.keywordCoil embolization-
dc.subject.keywordMiddle cerebral artery-
dc.subject.keywordUnruptured aneurysm-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNamePark, Sung Il-
dc.contributor.alternativeNameSuh, Sang Hyun-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorPark, Sung Il-
dc.contributor.affiliatedAuthorSuh, Sang Hyun-
dc.rights.accessRightsnot free-
dc.citation.volume68-
dc.citation.number2-
dc.citation.startPage346-
dc.citation.endPage353-
dc.identifier.bibliographicCitationNEUROSURGERY, Vol.68(2) : 346-353, 2011-
dc.identifier.rimsid27119-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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