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논문 기본 정보

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학술저널
저자정보
Sung Min Kim (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea) Hyun Gon Lee (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea) Byung Sam Choi (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea) Jung Soo Kim (Department of Internal Medicine Inha University College of Medicine) Sungjoon Lee (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea) Hae Yu Kim (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea) Sung Tae Kim (Department of Neurosurgery Inje University Busan Paik Hospital Busan Korea) Young-Gyun Jeong (Busan Paik Hospital) Jin Wook Baek (Department of Radiology Inje University Busan Paik Hospital Busan Korea) Hae Woong Jeong (Department of Diagnostic Radiology Busan Paik Hospital Inje University School of Medicine Busan) Sung-Chul Jin (Department of Neurosurgery Inje University Haeundae Paik Hospital Busan Korea)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.20 No.2
발행연도
2018.1
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106 - 111 (6page)

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Objective : In our series, endovascular coiling with Target® NanoTM coils (Stryker Neurovascular, Fremont, CA, USA) with diameters of 1 or 1.5 mm exhibited favorable technical feasibility in the treatment of small cerebral aneurysms (< 4 mm). However, little is known about the recurrence of small cerebral aneurysms treated using Target® NanoTM coils. We investigated recurrence following the treatment of small cerebral aneurysms using Target® NanoTM coils. Materials and Methods : Between January 2012 and November 2013, 143 patients with 148 small cerebral aneurysms (< 4 mm) were included our study. A total of 135 cerebral aneurysms (91.2%) were unruptured; 45 cerebral aneurysms (30.4%) were treated by endovascular coiling using Target® NanoTM coils. Follow-up radiological images were obtained for 132 cerebral aneurysms (89.2%) over a range of 3 to 58 months (mean, 34.3 months; standard deviation, 14.2). Results : In the group treated with Target® NanoTM coils, radiological outcomes revealed complete occlusion in 33 (73.3%), residual necks in eight (17.8%), and residual sacs in four (8.9%) cases. Follow-up radiological outcomes revealed complete occlusion in 35 (77.8%) and residual necks in four (8.9%) cases that exhibited stable coil masses. In the group that was not treated with Target® NanoTM coils, radiological outcomes revealed complete occlusion in 69 (67%), residual necks in 18 (17.5%), and residual sacs in 16 (15.5%) cases. Follow-up radiological outcomes revealed complete occlusion in 87 (84.5%) and residual necks (5.8%) in six cases that exhibited stable coil masses. No significant differences were observed in the radiological outcomes or follow-up radiological outcomes between the two groups. No recurrences or retreatments occurred in our series. Conclusion : Endovascular treatment using Target® NanoTM coils may be a robust treatment option for small cerebral aneurysms (< 4 mm).

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참고문헌 (14)

참고문헌 신청
Bavinzski G / 1999 / Gross and microscopic histopathological findings in aneurysms of the human brain treated with guglielmi detachable coils / J Neurosurg 91(2):284~293 google schola Biondi A / 2007 / Neuroform stent-assisted coil embolization of wide-neck intracranial aneurysms: strategies in stent deployment and midterm follow-up / Neurosurgery 61(3):460~468 Crossref Brinjikji W / 2015 / Mechanisms of healing in coiled intracranial aneurysms: a review of the literature / AJNR Am J Neuroradiol 36(7):1216~1222 Crossref Hayakawa M / 2000 / Natural history of the neck remnant of a cerebral aneurysm treated with the guglielmi detachable coil system / J Neurosurg 93(4):561~568 google schola Ioannidis I / 2010 / Endovascular treatment of very small intracranial aneurysms / J Neurosurg 112(3):551~556 google schola

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