Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes
DC Field | Value | Language |
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dc.contributor.author | Kim, Myeong Jin | - |
dc.contributor.author | Chung, Joonho | - |
dc.contributor.author | Shin, Yong Sam | - |
dc.contributor.author | Lim, Yong Cheol | - |
dc.date.available | 2020-02-27T02:42:19Z | - |
dc.date.created | 2020-02-04 | - |
dc.date.issued | 2019-06-03 | - |
dc.identifier.issn | 0161-6412 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/1345 | - |
dc.description.abstract | Background: Coil embolization with multiple overlapping stents was performed as an alternative treatment option for blood blister-like aneurysms (BBAs). However, coil placement into the BBAs has the inherent risks of rupture and regrowth. We describe a safe dense coil packing technique into and just proximal of BBAs using a semi-jailing technique for the treatment of BBAs of the internal carotid artery (ICA) and report the long-term clinical outcomes. Methods: The technique involves the partial deployment of a self-expanding and retrievable stent from the ICA bifurcation to the mid-portion of a BBA followed by coil embolization with gradual unsheathing of the stent from the BBA to its just proximal portion. Seventeen patients were treated using this technique (10 women; mean age, 47.9 +/- 11 years; overall mean clinical follow-up period, 42.3 +/- 22.8 months). Technique safety and feasibility, and follow-up angiographic results and clinical outcomes (modified Rankin Scale, mRS) were evaluated. Results: Procedures were successfully applied without any procedure-related complications. Immediate post-treatment angiograms showed total obliteration of the BBAs in all 17 patients. Follow-up angiograms, which were available in 15 (88.2%) patients, showed complete resolution of BBAs. Fourteen (82.4%) of 17 patients achieved favorable clinical outcomes (mRS <= 2). Conclusions: Forward deployed coil embolization with multiple overlapping stents offers a safe and effective reconstructive endovascular technique for the treatment of the BBAs. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | TAYLOR & FRANCIS LTD | - |
dc.relation.isPartOf | NEUROLOGICAL RESEARCH | - |
dc.subject | INTERNAL CAROTID-ARTERY | - |
dc.subject | ENDOVASCULAR TREATMENT | - |
dc.subject | ENTERPRISE STENTS | - |
dc.title | Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000467942800008 | - |
dc.identifier.doi | 10.1080/01616412.2019.1584424 | - |
dc.identifier.bibliographicCitation | NEUROLOGICAL RESEARCH, v.41, no.6, pp.562 - 568 | - |
dc.identifier.scopusid | 2-s2.0-85062440323 | - |
dc.citation.endPage | 568 | - |
dc.citation.startPage | 562 | - |
dc.citation.title | NEUROLOGICAL RESEARCH | - |
dc.citation.volume | 41 | - |
dc.citation.number | 6 | - |
dc.contributor.affiliatedAuthor | Kim, Myeong Jin | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Blood blister-like aneurysm | - |
dc.subject.keywordAuthor | stent-assisted coiling | - |
dc.subject.keywordAuthor | multiple overlapping stents | - |
dc.subject.keywordAuthor | subarachnoid hemorrhage | - |
dc.subject.keywordPlus | INTERNAL CAROTID-ARTERY | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | ENTERPRISE STENTS | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Neurosciences | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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