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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.4
- 수록면
- 349 - 356 (8page)
- DOI
- 10.3349/ymj.2022.63.4.349
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초록· 키워드
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Purpose: The purpose of this study was to report the author’s experiences in treating large (10–25 mm) and giant (>25 mm) intracranialaneurysms (IAs) using a single Flow Re-direction Endoluminal Device (FRED) without assistant coiling, with a focus onprocedure-related complications.
Materials and Methods: A total of 33 patients who were treated with FRED between January 2018 and July 2020 were retrospectivelyreviewed. The timing of procedure-related complications was chronologically categorized as acute (within 7 days), subacute(8 to 21 days), and delayed (after 21 days) periods. Follow-up angiography was performed at 2 to 27 months (mean 9.7months), and clinical follow-up was performed at 1 to 31 months (mean 14.1 months) in all patients.
Results: Six (18.2%) patients experienced procedure-related complications, including 2 (6.1%) in acute period, 1 (3.0%) in subacuteperiod, and 3 (9.1%) in delayed period. Thromboembolic complications occurred in 5 (15.2%) patients and hemorrhagiccomplications in 1 (3.0%). Permanent morbidity and mortality rates were 3.0% each. Non-internal carotid artery (ICA) location ofIAs (odds ratio 6.532; 95% confidence interval, 1.335–17.816; p=0.034) was the only independent risk factor for procedure-relatedcomplications on multivariate logistic regression analysis.
Conclusion: The procedure-related complication rate was 18.2% in this study. Procedure-related complications might increasewhen treating large and giant IAs located on a non-ICA, especially on the middle cerebral artery. Therefore, it may be suggestedthat neurointerventionists and endovascular neurosurgeons should pay attention to the location of IAs when treating large andgiant IAs with a single FRED.
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