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논문 기본 정보

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학술저널
저자정보
Woo Min-Seok (Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea) Son Wonsoo (Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea) Kang Dong-Hun (Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea) Park Jaechan (Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea) Kim Myungsoo (Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.26 No.3
발행연도
2024.9
수록면
284 - 292 (9page)
DOI
10.7461/jcen.2024.E2024.02.006

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Objective: Reconstruction methods, including stent-assisted coiling, multiple telescopic stents, and flow diverters, are preferred modalities for the treatment of unruptured vertebral artery dissecting aneurysms (VADAs). We aimed to compare the clinical outcomes between two reconstructive flow diversion techniques: single flow diverter (FD) device and multiple telescopic stenting (TS).Methods: We retrospectively reviewed the clinical data of 39 patients with unruptured VADAs. Of these, 17 patients were treated with multiple TS and 22 with a single FD device. Aneurysm characteristics and clinical outcomes were compared between the two groups.Results: All aneurysms included in this study successfully achieved flow diversion, regardless of the treatment modality and duration. However, the mean procedure duration to complete the diversion was shorter in the FD group. Subgroup analysis in TS group showed that there were no significant clinical differences between the low-profile visualized intraluminal support and Enterprise stents, except for the mean procedure duration.Conclusions: Both the single FD and multiple TS methods showed excellent angiographic and clinical outcomes in the treatment of unruptured VADAs. However, single FD required a shorter procedure duration and was associated with faster achievement of complete flow diversion.

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