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Y-configuration double-stent-assisted coiling using two closed-cell stents for wide-neck basilar tip aneurysms

DC FieldValueLanguage
dc.contributor.author김동익-
dc.contributor.author김동준-
dc.contributor.author김병문-
dc.contributor.author박근영-
dc.date.accessioned2015-01-06T17:10:40Z-
dc.date.available2015-01-06T17:10:40Z-
dc.date.issued2014-
dc.identifier.issn0001-6268-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/99479-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityopen-
dc.format.extent1677~1686-
dc.relation.isPartOfACTA NEUROCHIRURGICA-
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.MESHAneurysm, Ruptured/diagnostic imaging-
dc.subject.MESHAneurysm, Ruptured/therapy*-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHDisability Evaluation-
dc.subject.MESHEmbolization, Therapeutic/adverse effects-
dc.subject.MESHEmbolization, Therapeutic/instrumentation*-
dc.subject.MESHEquipment Design-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHImage Interpretation, Computer-Assisted-
dc.subject.MESHImaging, Three-Dimensional-
dc.subject.MESHIntracranial Aneurysm/diagnostic imaging-
dc.subject.MESHIntracranial Aneurysm/therapy*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRecurrence-
dc.subject.MESHRetreatment-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents*-
dc.titleY-configuration double-stent-assisted coiling using two closed-cell stents for wide-neck basilar tip aneurysms-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorPyoung Jeon-
dc.contributor.googleauthorByung Moon Kim-
dc.contributor.googleauthorDong Joon Kim-
dc.contributor.googleauthorDong I. k Kim-
dc.contributor.googleauthorKeun Young Park-
dc.identifier.doi10.1007/s00701-014-2163-0-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00408-
dc.contributor.localIdA00410-
dc.contributor.localIdA00498-
dc.contributor.localIdA01442-
dc.relation.journalcodeJ00018-
dc.identifier.eissn0942-0940-
dc.identifier.pmid24969176-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00701-014-2163-0-
dc.subject.keywordAneurysm-
dc.subject.keywordBasilar artery-
dc.subject.keywordCoiling-
dc.subject.keywordStent-assistance-
dc.contributor.alternativeNameKim, Dong Ik-
dc.contributor.alternativeNameKim, Dong Joon-
dc.contributor.alternativeNameKim, Byung Moon-
dc.contributor.alternativeNamePark, Keun Young-
dc.contributor.affiliatedAuthorKim, Dong Ik-
dc.contributor.affiliatedAuthorKim, Dong Joon-
dc.contributor.affiliatedAuthorKim, Byung Moon-
dc.contributor.affiliatedAuthorPark, Keun Young-
dc.rights.accessRightsfree-
dc.citation.volume156-
dc.citation.number9-
dc.citation.startPage1677-
dc.citation.endPage1686-
dc.identifier.bibliographicCitationACTA NEUROCHIRURGICA, Vol.156(9) : 1677-1686, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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