Is 3 years adequate for tracking completely occluded coiled aneurysms?
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yeon, E.K. | - |
dc.contributor.author | Cho, Y.D. | - |
dc.contributor.author | Yoo, D.H. | - |
dc.contributor.author | Lee, S.H. | - |
dc.contributor.author | Kang, H.-S. | - |
dc.contributor.author | Kim, J.E. | - |
dc.contributor.author | Cho, W.-S. | - |
dc.contributor.author | Choi, H.H. | - |
dc.contributor.author | Han, M.H. | - |
dc.date.accessioned | 2023-03-08T13:51:56Z | - |
dc.date.available | 2023-03-08T13:51:56Z | - |
dc.date.issued | 2020-09 | - |
dc.identifier.issn | 0022-3085 | - |
dc.identifier.issn | 1933-0693 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/63270 | - |
dc.description.abstract | OBJECTIVE The authors conducted a study to ascertain the long-term durability of coiled aneurysms completely occluded at 36 months’ follow-up given the potential for delayed recanalization. METHODS In this retrospective review, the authors examined 299 patients with 339 aneurysms, all shown to be completely occluded at 36 months on follow-up images obtained between 2011 and 2013. Medical records and radiological data acquired during the extended monitoring period (mean 74.3 ± 22.5 months) were retrieved, and the authors analyzed the incidence of (including mean annual risk) and risk factors for delayed recanalization. RESULTS A total of 5 coiled aneurysms (1.5%) occluded completely at 36 months showed recanalization (0.46% per aneurysm-year) during the long-term surveillance period (1081.9 aneurysm-years), 2 surfacing within 60 months and 3 developing thereafter. Four showed minor recanalization, with only one instance of major recanalization. The latter involved the posterior communicating artery as an apparent de novo lesion, arising at the neck of a firmly coiled sac, and was unrelated to coil compaction or growth. Additional embolization was undertaken. In a multivariate analysis, a second embolization for a recurrent aneurysm (HR = 22.088, p = 0.003) independently correlated with delayed recanalization. CONCLUSIONS Almost all coiled aneurysms (98.5%) showing complete occlusion at 36 months postembolization proved to be stable during extended observation. However, recurrent aneurysms were predisposed to delayed recanalization. Given the low probability yet seriousness of delayed recanalization and the possibility of de novo aneurysm formation, careful monitoring may be still considered in this setting but at less frequent intervals beyond 36 months. ©AANS 2020 | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | American Association of Neurological Surgeons | - |
dc.title | Is 3 years adequate for tracking completely occluded coiled aneurysms? | - |
dc.type | Article | - |
dc.identifier.doi | 10.3171/2019.5.JNS183651 | - |
dc.identifier.bibliographicCitation | Journal of Neurosurgery, v.133, no.3, pp 758 - 764 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000586088300020 | - |
dc.identifier.scopusid | 2-s2.0-85090343836 | - |
dc.citation.endPage | 764 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 758 | - |
dc.citation.title | Journal of Neurosurgery | - |
dc.citation.volume | 133 | - |
dc.type.docType | Review | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Aneurysm | - |
dc.subject.keywordAuthor | Coiling | - |
dc.subject.keywordAuthor | Follow-up | - |
dc.subject.keywordAuthor | Recanalization | - |
dc.subject.keywordAuthor | Vascular disorders | - |
dc.subject.keywordPlus | RUPTURED INTRACRANIAL ANEURYSMS | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | FOLLOW-UP | - |
dc.subject.keywordPlus | RECURRENCE LITERATURE | - |
dc.subject.keywordPlus | DETACHABLE COILS | - |
dc.subject.keywordPlus | 2 DECADES | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | EMBOLIZATION | - |
dc.subject.keywordPlus | ANGIOGRAPHY | - |
dc.subject.keywordPlus | OCCLUSION | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
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.