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논문 기본 정보

자료유형
학술저널
저자정보
Hyung Jun Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Ha-Na Song (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Ji-Eun Lee (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Yoon-Chul Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) In-Young Baek (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Ye-Sel Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Jong-Won Chung (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Tae Keun Jee (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Je Young Yeon (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Oh Young Bang (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Gyeong-Moon Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Keon-Ha Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Jong-Soo Kim (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Seung-Chyul Hong (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Woo-Keun Seo (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea) Pyeong Jeon (Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea)
저널정보
대한뇌졸중학회 대한뇌졸중학회지 대한뇌졸중학회지 제23권 제2호
발행연도
2021.1
수록면
213 - 222 (10page)

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Background and Purpose Previous studies have assessed the relationship between cerebral vessel tortuosity and intracranial aneurysm (IA) based on two-dimensional brain image analysis. We evaluated the relationship between cerebral vessel tortuosity and IA according to the hemodynamic location using three-dimensional (3D) analysis and studied the effect of tortuosity on the recurrence of treated IA. Methods We collected clinical and imaging data from patients with IA and disease-free controls. IAs were categorized into outer curvature and bifurcation types. Computerized analysis of the images provided information on the length of the arterial segment and tortuosity of the cerebral arteries in 3D space. Results Data from 95 patients with IA and 95 controls were analyzed. Regarding parent vessel tortuosity index (TI; P<0.01), average TI (P<0.01), basilar artery (BA; P=0.02), left posterior cerebral artery (P=0.03), both vertebral arteries (VAs; P<0.01), and right internal carotid artery (P<0.01), there was a significant difference only in the outer curvature type compared with the control group. The outer curvature type was analyzed, and the occurrence of an IA was associated with increased TI of the parent vessel, average, BA, right middle cerebral artery, and both VAs in the logistic regression analysis. However, in all aneurysm cases, recanalization of the treated aneurysm was inversely associated with increased TI of the parent vessels. Conclusions TIs of intracranial arteries are associated with the occurrence of IA, especially in the outer curvature type. IAs with a high TI in the parent vessel showed good outcomes with endovascular treatment.

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