Microembolism after endovascular coiling of unruptured cerebral aneurysms: incidence and risk factors
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Park, Jung Cheol | - |
dc.contributor.author | Lee, Deok Hee | - |
dc.contributor.author | Kim, Jae Kyun | - |
dc.contributor.author | Ahn, Jae Sung | - |
dc.contributor.author | Kwun, Byung Duk | - |
dc.contributor.author | Kim, Dae Yoon | - |
dc.contributor.author | Choi, Choong Gon | - |
dc.date.accessioned | 2023-03-08T17:51:20Z | - |
dc.date.available | 2023-03-08T17:51:20Z | - |
dc.date.issued | 2016-03 | - |
dc.identifier.issn | 0022-3085 | - |
dc.identifier.issn | 1933-0693 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/64302 | - |
dc.description.abstract | OBJECTIVE The incidence and risk factors of microembolic lesions on MR diffusion-weighted imaging (DWI) were analyzed after the endovascular coiling of unruptured intracranial aneurysms (UIAs). METHODS Data obtained from 271 consecutive patients (70 men and 201 women; median age 57 years; range 23-79 years) who presented with UIA for coil embolization between July 2011 and June 2013 were analyzed. Two independent reviewers examined the DWI and apparent diffusion coefficient maps obtained the following day for the presence of restrictive diffusion spots and counted the number of spots. Multivariate analysis was then performed to identify independent risk factors for developing microembolism following the coiling of an aneurysm. RESULTS Microembolic lesions were noted in 101 of 271 patients (37.3%). The results of the multivariate analysis showed that the following factors significantly influenced the risk for microembolism: age, diabetes, previous history of ischemic stroke, high-signal FLAIR lesions in the white matter, multiple aneurysms, and the insertion of an Enterprise stent (all ORs > 1.0 and all p values < 0.05). Previously known risk factors such as prolonged procedure duration, aneurysm size, and decreased antiplatelet function did not show any significant influence. CONCLUSIONS The incidence of microembolism after endovascular coiling of UIA was not low. Lesions occurred more frequently in patients with vascular status associated with old age, diabetes, and previous stroke. Aneurysm multiplicity and the type of stent used for treatment also influenced lesion occurrence. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | AMER ASSOC NEUROLOGICAL SURGEONS | - |
dc.title | Microembolism after endovascular coiling of unruptured cerebral aneurysms: incidence and risk factors | - |
dc.type | Article | - |
dc.identifier.doi | 10.3171/2015.3.JNS142835 | - |
dc.identifier.bibliographicCitation | JOURNAL OF NEUROSURGERY, v.124, no.3, pp 777 - 783 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000370915200025 | - |
dc.identifier.scopusid | 2-s2.0-84975127113 | - |
dc.citation.endPage | 783 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 777 | - |
dc.citation.title | JOURNAL OF NEUROSURGERY | - |
dc.citation.volume | 124 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | unruptured cerebral aneurysm | - |
dc.subject.keywordAuthor | endovascular coiling | - |
dc.subject.keywordAuthor | diffusion-weighted imaging | - |
dc.subject.keywordAuthor | microembolism | - |
dc.subject.keywordAuthor | vascular disorders | - |
dc.subject.keywordPlus | GUGLIELMI DETACHABLE COILS | - |
dc.subject.keywordPlus | SILENT THROMBOEMBOLIC EVENTS | - |
dc.subject.keywordPlus | INTRACRANIAL ANEURYSMS | - |
dc.subject.keywordPlus | ANTIPLATELET THERAPY | - |
dc.subject.keywordPlus | COGNITIVE IMPAIRMENT | - |
dc.subject.keywordPlus | DIFFUSION | - |
dc.subject.keywordPlus | EMBOLIZATION | - |
dc.subject.keywordPlus | LESIONS | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | ANGIOGRAPHY | - |
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.