지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.18 No.1
- 발행연도
- 2016.1
- 수록면
- 19 - 26 (8page)
이용수
초록· 키워드
오류제보하기
For securing large, giant, and wide-neck aneurysms, conventional coil embolization has substantial limitations, such as incomplete occlusion, recanalization, and a high recurrence rate. To overcome these limitations, a novel paradigm was suggested and, as a result, flow-diverting device was developed. The flow-diverting device is an innovative and effective technique to allow securing of large, giant, and wide-neck aneurysms. In numerous studies, the flow-diverting device has shown better outcomes than coil embolization. However, the flow-diverting device has also some risks, including rupture of aneurysm, intracerebral hemorrhage, and ischemic stroke. In addition, with more experience, unexpected complications are also reported.5)7) In the present case, we experienced a delayed ischemic stroke at 27 days after endovascular treatment. The patient had multiple aneurysms and, among them, we treated a large posterior communicating artery aneurysm using PipelineTM Embolization Device. The patient was tolerable for 25 days, but then suddenly presented intermittent right hemiparesis. In the initial diffusion magnetic resonance imaging (MRI), there was no acute lesion; however, in the follow-up MRI, an acute ischemic stroke was found in the territory of anterior choroidal artery which was covered by Pipeline Embolization Device. We suspect that neo-intimal overgrowth or a tiny thrombus have led to this delayed complication. Through our case, we learned that the neurosurgeon should be aware of the possibility of delayed ischemic stroke after flow diversion, as well as, long-term close observation and follow-up angiography are necessary even in the event of no acute complications.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Brinjikji W / 2013 / Endovascular treatment of intracranial aneurysms with flow diverters: a meta-analysis / Stroke 44(2):442~447
Chalouhi N / 2013 / Comparison of flow diversion and coiling in large unruptured intracranial saccular aneurysms / Stroke 44(8):2150~2154
Chitale R / 2012 / Single center experience with pipeline stent: feasibility, technique, and complications / Neurosurgery 71(3):679~691
Chiu AH / 2015 / Long-term follow-up results following elective treatment of unruptured intracranial aneurysms with the Pipeline embolization device / AJNR Am J Neuroradiol. 36(9):1728~1734
Dale Ding / 2014 / Microsurgical Strategies Following Failed Endovascular Treatment with the Pipeline Embolization Device: Case of a Giant Posterior Cerebral Artery Aneurysm / Journal of Cerebrovascular and Endovascular Neurosurgery 16(1):26~31
Chalouhi N / 2013 / Comparison of flow diversion and coiling in large unruptured intracranial saccular aneurysms / Stroke 44(8):2150~2154
Chitale R / 2012 / Single center experience with pipeline stent: feasibility, technique, and complications / Neurosurgery 71(3):679~691
Chiu AH / 2015 / Long-term follow-up results following elective treatment of unruptured intracranial aneurysms with the Pipeline embolization device / AJNR Am J Neuroradiol. 36(9):1728~1734
Dale Ding / 2014 / Microsurgical Strategies Following Failed Endovascular Treatment with the Pipeline Embolization Device: Case of a Giant Posterior Cerebral Artery Aneurysm / Journal of Cerebrovascular and Endovascular Neurosurgery 16(1):26~31
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review
Journal of Cerebrovascular and Endovascular Neurosurgery
2024 .04
-
Spontaneous Occluded Anterior Communicating Artery Aneurysm during Coil Embolization Treated with One Coil Insertion into Remaining Stump
Journal of Cerebrovascular and Endovascular Neurosurgery
2015 .01
-
Off-Label Application of Pipeline Embolization Device for Intracranial Aneurysms
Neurointervention
2019 .01
-
Feasibility and efficacy of coil embolization for middle cerebral artery aneurysms
영남의대학술지
2019 .01
-
Risk Factors for Intraprocedural Rerupture during Embolization of Ruptured Intracranial Aneurysms
Journal of Korean Medical Science
2020 .01
-
Inadvertent Complication of a Pipeline Embolization Device for Treatment with Vertebral Artery Dissecting Aneurysm : Distal Tip Fracture of Delivery Wire
대한신경외과학회지
2016 .01
-
Development of New Endovascular Devices for Aneurysm Treatment
대한뇌졸중학회지
2018 .01
-
Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report
Neurointervention
2021 .01
-
Endovascular Treatment May Be Effective in Preventing Recurrence of Ischemic Stroke in Vertebral Artery Stump Syndrome: A Case Series
Neurointervention
2024 .03
-
Eleven Year's Single Center Experience of Endovascular Treatment of Anterior Communicating Artery Aneurysms : Focused on Digital Subtraction Angiography Follow-Up Results
대한신경외과학회지
2015 .01
-
Retreatment of a recurrent giant aneurysm of the internal carotid artery after treatment with a flow-diverting stent
Journal of Cerebrovascular and Endovascular Neurosurgery
2023 .06
-
Two consecutive ruptured intracranial aneurysm in patient with multiple intracranial aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery
2024 .07
-
Rebleeding of Ruptured Intracranial Aneurysms in the Immediate Postoperative Period after Coil Embolization
Journal of Cerebrovascular and Endovascular Neurosurgery
2015 .01
-
Salvage flow diverter stent across the posterior communicating artery for persistent retrograde filling of a giant internal carotid artery aneurysm after parent vessel occlusion
Journal of Cerebrovascular and Endovascular Neurosurgery
2021 .06
-
Management of hepatic artery aneurysm: A case series
Annals of Hepato-Biliary-Pancreatic Surgery
2020 .08
-
Management of Recurrent Cerebral Aneurysm after Surgical Clipping : Clinical Article
대한신경외과학회지
2018 .01
-
Staged hybrid treatment for giant thrombosed fusiform aneurysm
Journal of Cerebrovascular and Endovascular Neurosurgery
2021 .12
-
Treatment Outcomes with Selective Coil Embolization for Large or Giant Aneurysms : Prognostic Implications of Incomplete Occlusion
대한신경외과학회지
2018 .01
-
Quantitative Computed Tomographic Volumetry after Treatment of a Giant Intracranial Aneurysm with a Pipeline Embolization Device
Yonsei Medical Journal
2017 .01
-
Flow recovery after posterior clinoidectomy for surgical clipping of anterior choroidal aneurysm
Journal of Cerebrovascular and Endovascular Neurosurgery
2021 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0