Cited 17 times in
Long-Term Clinical and Angiographic Outcomes of Wrap-Clipping Strategies for Unclippable Cerebral Aneurysms
DC Field | Value | Language |
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dc.contributor.author | 김용배 | - |
dc.contributor.author | 정준호 | - |
dc.contributor.author | 주진양 | - |
dc.contributor.author | 허승곤 | - |
dc.contributor.author | 홍창기 | - |
dc.date.accessioned | 2015-01-06T16:54:02Z | - |
dc.date.available | 2015-01-06T16:54:02Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/98986 | - |
dc.description.abstract | PURPOSE: To evaluate the efficacy and stability of the wrap-clipping methods as a reconstructive strategy in the treatment of unclippable cerebral aneurysms. MATERIALS AND METHODS: Twenty four patients who had undergone wrap-clipping microsurgery were retrospectively reviewed. Type and morphology of the treated aneurysm, utilized technique for wrap-clip procedure, and clinical outcome with angiographic results at their last follow-up were evaluated. RESULTS: Of 24 patients, eleven patients had internal carotid artery (ICA) blister-like aneurysms, three had dissecting type aneurysms, and ten had fusiform aneurysms. The follow-up period for the late clinical and angiographic results ranged from 10 to 75 months (mean 35 months). Wrap-clipping was performed in eleven, wrap-holding clipping was in ten, and combination of wrap-clip and wrap-holding clip was in three cases. At the last angiographic follow-up study, twelve aneurysms (50%) were found to have completely healed, and nine aneurysms (38%) were at least stable. However, wrap-holding clip for the elongated blister type of ICA aneurysm was found failed, leading to fatal rebleeding in one case, and two cases of combination of wrap-clip-wrap-holding clip revealed delayed branch occlusion and marked regrowing, respectively. CONCLUSION: Wrap-clipping strategy could be an easy and safe alternative for unclippable aneurysms. The wrapped aneurysm mostly disappeared, or at least remained stationary, after a long-term period. However, surgeons should be aware of that the wrapped aneurysm might become worse. Therefore, follow-up surveillance for an extended period should be mandatory. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 401~409 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
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 | Carotid Artery, Internal/surgery | - |
dc.subject.MESH | Cerebral Angiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intracranial Aneurysm/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Microsurgery/methods* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Long-Term Clinical and Angiographic Outcomes of Wrap-Clipping Strategies for Unclippable Cerebral Aneurysms | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.contributor.googleauthor | Chang Ki Hong | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.contributor.googleauthor | Jin Yang Joo | - |
dc.contributor.googleauthor | Seung-Kon Huh | - |
dc.identifier.doi | 10.3349/ymj.2014.55.2.401 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03731 | - |
dc.contributor.localId | A03959 | - |
dc.contributor.localId | A04356 | - |
dc.contributor.localId | A04445 | - |
dc.contributor.localId | A00743 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 24532510 | - |
dc.subject.keyword | Cerebral aneurysms | - |
dc.subject.keyword | follow-up | - |
dc.subject.keyword | unclippable | - |
dc.subject.keyword | wrap-clipping | - |
dc.contributor.alternativeName | Kim, Yong Bae | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.alternativeName | Joo, Jin Yang | - |
dc.contributor.alternativeName | Huh, Seung Kon | - |
dc.contributor.alternativeName | Hong, Chang Ki | - |
dc.contributor.affiliatedAuthor | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Joo, Jin Yang | - |
dc.contributor.affiliatedAuthor | Huh, Seung Kon | - |
dc.contributor.affiliatedAuthor | Hong, Chang Ki | - |
dc.contributor.affiliatedAuthor | Kim, Yong Bae | - |
dc.citation.volume | 55 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 401 | - |
dc.citation.endPage | 409 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.55(2) : 401-409, 2014 | - |
dc.identifier.rimsid | 50194 | - |
dc.type.rims | ART | - |
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