Cited 25 times in
Y-configuration double-stent-assisted coiling using two closed-cell stents for wide-neck basilar tip aneurysms
DC Field | Value | Language |
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dc.contributor.author | 김동익 | - |
dc.contributor.author | 김동준 | - |
dc.contributor.author | 김병문 | - |
dc.contributor.author | 박근영 | - |
dc.date.accessioned | 2015-01-06T17:10:40Z | - |
dc.date.available | 2015-01-06T17:10:40Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0001-6268 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/99479 | - |
dc.description.abstract | BACKGROUND: This study aimed to evaluate clinical and angiographic outcomes of Y-configuration double-stent-assisted (Y-stent) coiling using two closed-cell stents for wide-necked basilar tip aneurysm (BTA). MATERIALS: A total of 25 patients underwent Y-stent coiling using two closed-cell stents as a first-time treatment in 18 (3 ruptured) BTAs, retreatment in 2 BTAs and as a third treatment in 5 wide-necked BTAs. Clinical and angiographic outcomes were evaluated retrospectively. RESULTS: Treatment-related complications were three (12.0 %) thromboembolic infarctions due to two acute in-stent thromboses and one embolism. Twenty-two (88 %) patients had favorable outcomes (modified Rankin scale score [mRS], 0-2) during the follow-up period (mean, 30 months; range, 6-54 months). Two patients died: one from initial subarachnoid hemorrhage and the other from intracerebral hemorrhage due to underlying Moyamoya disease. Post-treatment angiograms showed complete occlusion in nine aneurysms, residual neck in 11 aneurysms and residual sac in five aneurysms. Follow-up angiograms were available at least once between 5 to 34 months (mean, 16 months) in 21 patients. Nineteen patients showed improved or stable states (complete occlusion, n = 17; residual neck, n = 2). Major recurrences occurred in two BTAs (9.5 %). Those two major recurrent aneurysms had been large-sized aneurysms at the initial coiling procedure. Both showed not only coil compaction but also progressive growth to giant-sized aneurysms and intra-aneurysmal thrombus formation at the Y-stent coiling as a third-time treatment. CONCLUSIONS: Y-stent coiling using two closed-cell stents is a safe and durable treatment option for wide-necked BTA, but may have limited efficacy for large/giant sized and thrombosed aneurysms. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1677~1686 | - |
dc.relation.isPartOf | ACTA NEUROCHIRURGICA | - |
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 | Aneurysm, Ruptured/diagnostic imaging | - |
dc.subject.MESH | Aneurysm, Ruptured/therapy* | - |
dc.subject.MESH | Cerebral Angiography | - |
dc.subject.MESH | Disability Evaluation | - |
dc.subject.MESH | Embolization, Therapeutic/adverse effects | - |
dc.subject.MESH | Embolization, Therapeutic/instrumentation* | - |
dc.subject.MESH | Equipment Design | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Image Interpretation, Computer-Assisted | - |
dc.subject.MESH | Imaging, Three-Dimensional | - |
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 | Recurrence | - |
dc.subject.MESH | Retreatment | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stents* | - |
dc.title | Y-configuration double-stent-assisted coiling using two closed-cell stents for wide-neck basilar tip aneurysms | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Pyoung Jeon | - |
dc.contributor.googleauthor | Byung Moon Kim | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Dong I. k Kim | - |
dc.contributor.googleauthor | Keun Young Park | - |
dc.identifier.doi | 10.1007/s00701-014-2163-0 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00408 | - |
dc.contributor.localId | A00410 | - |
dc.contributor.localId | A00498 | - |
dc.contributor.localId | A01442 | - |
dc.relation.journalcode | J00018 | - |
dc.identifier.eissn | 0942-0940 | - |
dc.identifier.pmid | 24969176 | - |
dc.identifier.url | http://link.springer.com/article/10.1007%2Fs00701-014-2163-0 | - |
dc.subject.keyword | Aneurysm | - |
dc.subject.keyword | Basilar artery | - |
dc.subject.keyword | Coiling | - |
dc.subject.keyword | Stent-assistance | - |
dc.contributor.alternativeName | Kim, Dong Ik | - |
dc.contributor.alternativeName | Kim, Dong Joon | - |
dc.contributor.alternativeName | Kim, Byung Moon | - |
dc.contributor.alternativeName | Park, Keun Young | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ik | - |
dc.contributor.affiliatedAuthor | Kim, Dong Joon | - |
dc.contributor.affiliatedAuthor | Kim, Byung Moon | - |
dc.contributor.affiliatedAuthor | Park, Keun Young | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 156 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1677 | - |
dc.citation.endPage | 1686 | - |
dc.identifier.bibliographicCitation | ACTA NEUROCHIRURGICA, Vol.156(9) : 1677-1686, 2014 | - |
dc.identifier.rimsid | 39448 | - |
dc.type.rims | ART | - |
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