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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 250 - 257 (8page)
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초록· 키워드
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Objective : Endovascular treatment of wide-necked intracranial aneurysms is a challenge and the durability and the safety of these treated aneurysms remain unknown. The aim of this study was to evaluate the clinical and long-term angiographic results of wide-necked intracranial aneurysms treated with coil embolization. Methods : Between January 2002 and December 2012, 53 wide-necked aneurysms treated with coil embolization were selected. Forty were female, and 13 were male. Twenty eight (52.8%) were ruptured aneurysms, and 25 (47.2%) were unruptured aneurysms. The patents' medical and radiological records were reviewed retrospectively. Results : Of the 53 aneurysms, coiling alone was employed in 45 (84.9%) and stent-assisted coiling was done in 8 (15.1%). The initial angiographic results revealed Raymond class 1 (complete occlusion) in 30 (56.6%) cases, Raymond class 2 (residual neck) in 18 (34.0%) cases, and Raymond class 3 (residual sac) in 5 (9.4%) cases. The mean angiographic follow-up period was 37.9 months (12-120 months). At the last angiographies, Raymond class 1 was seen in 26 (49.1%) cases, Raymond class 2 in 16 (30.2%), and Raymond class 3 in 11 (20.8%). Angiographic recurrence occurred in 22 (41.5%) patients, with minor recurrence in 7 (13.2%) cases and major recurrence in 15 (28.3%). Retreatment was performed in 8 cases (15.1%). A suboptimal result on the initial angiography was a significant predictor of recurrence in this study (p=0.03). Conclusion : The predictor of recurrence in wide-necked aneurysms is a suboptimal result on the initial angiography. Long-term angiographic follow-up is recommended in wide-necked aneurysms.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Chalouhi N. / 2012 / Safety and efficacy of endovascular treatment of basilar tip aneurysms by coiling with and without stent assistance : a review of 235 cases / Neurosurgery 71:785~794
Cognard C. / 1999 / Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils / Radiology 212:348~356
Colby GP. / 2012 / A single center comparison of coiling versus stent assisted coiling in 90 consecutive paraophthalmic region aneurysms / J Neurointerv Surg 4:116~120
Gordhan A. / 2011 / Stent-assisted aneurysm coil embolization : safety and efficacy at a low-volume center / Neurol Res 33:942~946
Gory B. / 2014 / Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms : mid-term results from the SOLARE Study / Neurosurgery 75:215~219
Cognard C. / 1999 / Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils / Radiology 212:348~356
Colby GP. / 2012 / A single center comparison of coiling versus stent assisted coiling in 90 consecutive paraophthalmic region aneurysms / J Neurointerv Surg 4:116~120
Gordhan A. / 2011 / Stent-assisted aneurysm coil embolization : safety and efficacy at a low-volume center / Neurol Res 33:942~946
Gory B. / 2014 / Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms : mid-term results from the SOLARE Study / Neurosurgery 75:215~219
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