Antiplatelet Premedication-Free Stent-Assisted Coil Embolization in Acutely Ruptured Aneurysms
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Choi, Hyun Ho | - |
dc.contributor.author | Cho, Young Dae | - |
dc.contributor.author | Han, Moon Hee | - |
dc.contributor.author | Cho, Won-Sang | - |
dc.contributor.author | Kim, Jeong Eun | - |
dc.contributor.author | Lee, Jung Jun | - |
dc.contributor.author | An, Sang Joon | - |
dc.contributor.author | Mun, Jong Hyeon | - |
dc.contributor.author | Yoo, Dong Hyun | - |
dc.contributor.author | Kang, Hyun-Seung | - |
dc.date.accessioned | 2021-06-18T07:42:30Z | - |
dc.date.available | 2021-06-18T07:42:30Z | - |
dc.date.issued | 2018-06 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.issn | 1878-8769 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/45259 | - |
dc.description.abstract | OBJECTIVE: Stent-assisted coil embolization (SAC) is one of the treatment options for patients with intracranial aneurysms. The purpose of this study was to assess clinical outcomes of patients who underwent coil embolization for acutely ruptured aneurysms without antiplatelet premedication. METHODS: A total of 449 patients with acutely ruptured aneurysms underwent endovascular treatment without antiplatelet premedication between April 2006 and October 2015. Among them, 55 patients underwent SAC (SAC group) and 394 underwent coiling without stent assistance (non-SAC group). Periprocedural complications and clinical outcomes at postictal 6 months were compared between the 2 groups. RESULTS: The rate of hemorrhagic complications showed no significant difference (SAC group vs. non-SAC group, 9.1% vs. 4.8%). Although procedural thromboembolism occurred more frequently in the SAC group (25.5% vs. 12.4%; P = 0.01), poor clinical outcomes (modified Rankin scale score >= 3) were comparable (30.9% vs. 22.1%). In the multivariate analysis, Hunt-Hess grade (odds ratio [OR] = 4.22; P < 0.001), hemorrhagic complications (OR = 4.01; P = 0.018), and age (OR = 1.04, P = 0.001) were independent predictors of poor clinical outcomes, but stent-assisted coil embolization and procedural thromboembolism were not. CONCLUSIONS: Although procedure-related thrombo-embolism occurred more frequently, comparable treatment outcomes could be achieved with antiplatelet premedication-free SAC in patients with acutely ruptured aneurysms. The use of stents and thromboembolic complications were not significant risk factors for poor clinical outcome. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.title | Antiplatelet Premedication-Free Stent-Assisted Coil Embolization in Acutely Ruptured Aneurysms | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.wneu.2018.03.164 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, v.114, pp E1152 - E1160 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000432959600134 | - |
dc.identifier.scopusid | 2-s2.0-85046130099 | - |
dc.citation.endPage | E1160 | - |
dc.citation.startPage | E1152 | - |
dc.citation.title | WORLD NEUROSURGERY | - |
dc.citation.volume | 114 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Acutely ruptured aneurysms | - |
dc.subject.keywordAuthor | Antiplatelet premedication | - |
dc.subject.keywordAuthor | Clinical outcomes | - |
dc.subject.keywordAuthor | Hemorrhage | - |
dc.subject.keywordAuthor | Stent-assisted coil embolization | - |
dc.subject.keywordAuthor | Thromboembolism | - |
dc.subject.keywordPlus | WIDE-NECKED ANEURYSMS | - |
dc.subject.keywordPlus | INTRAARTERIAL TIROFIBAN INFUSION | - |
dc.subject.keywordPlus | INTRACRANIAL ANEURYSMS | - |
dc.subject.keywordPlus | HEMORRHAGIC COMPLICATIONS | - |
dc.subject.keywordPlus | THROMBOEMBOLIC COMPLICATIONS | - |
dc.subject.keywordPlus | VENTRICULOSTOMY PLACEMENT | - |
dc.subject.keywordPlus | CEREBRAL ANEURYSMS | - |
dc.subject.keywordPlus | ABCIXIMAB | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
84, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea (06974)02-820-6194
COPYRIGHT 2019 Chung-Ang University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.