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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Myeong Jin (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea) Lim, Yong Cheol (Department of Neurosurgery, Ajou University School of Medicine) Oh, Se-Yang (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea) Kim, Byung Moon (Department of Radiology, Severance Hospital, Yonsei University College of Medicine) Kim, Bum-Soo (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea) Shin, Yong Sam (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제54권 제1호
발행연도
2013.1
수록면
19 - 24 (6page)

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Objective : The purpose of this study was to retrospectively evaluate and compare the incidence of diffusion-weighted image (DWI) lesions between the Guglielmi detachable coil (GDC) and the Target coil for treating unruptured intracranial aneurysm. Methods : From 2010 to 2011, consecutive 222 patients with an intracranial aneurysm underwent coil embolization. Inclusion criterias were : 1) unruptured intracranial aneurysm, 2) one or more GDC or Target coils used with or without other coils, 3) DWI examination within 24 hours after coiling, and 4) coiling performed without a balloon or stent. Results : Ninety patients (92 cases) met the inclusion criteria. DWI lesions were detected in 55 (61.1%) of 90 patients. In the GDC group (n=44), DWI lesions were detected in 31 (70.5%). The average number of DWI lesions was $5.0{\pm}8.7$ (mean${\pm}$SD; range, 1-40) in aneurysm-related territory. In the Target coil group (n=48), DWI lesions were detected in 24 (50.0%). The number of DWI lesion was $2.1{\pm}5.4$ (range, 1-32) in aneurysm-related territory. There was no significant correlation between a number of coils and DWI lesions. No significant differences were also observed in the number of DWI lesions in each group. Conclusion : The GDC and Target coils, which have an electrolytic detachable system, showed no differences in the incidence of DWI lesion.
#Air bubble #Coil embolization #Diffusion-weighted imaging #Detachable coil #Thromboembolism

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참고문헌 (19)

참고문헌 신청
Albayram S / 2004 / Thromboembolic events associated with balloon-assisted coil emboliza- tion : evaluation with diffusion-weighted MR imaging / AJNR Am J Neuroradiol 25:1768~1777 google schola Bendszus M / 1999 / Silent embolism in diagnostic cerebral angiography and neurointerventional procedures : a prospective study / Lancet 354:1594~1597 google schola Debrun GM / 1998 / Se- lection of cerebral aneurysms for treatment using Guglielmi detachable coils : the preliminary University of Illinois at Chicago experience / Neu- rosurgery 43:1281~1295 google schola Han MH / 2003 / Gas gen- eration and clot formation during electrolytic detachment of Guglielmi detachable coils : in vitro observations and animal experiment / AJNR Am J Neuroradiol 24:539~544 google schola Hwang G / 2011 / Compari- son of 2-year angiographic outcomes of stent- and nonstent-assisted coil embolization in unruptured aneurysms with an unfavorable configura- tion for coiling / AJNR Am J Neuroradiol 32:1707~1710 google schola

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