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Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes

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dc.contributor.authorKim, Myeong Jin-
dc.contributor.authorChung, Joonho-
dc.contributor.authorShin, Yong Sam-
dc.contributor.authorLim, Yong Cheol-
dc.date.available2020-02-27T02:42:19Z-
dc.date.created2020-02-04-
dc.date.issued2019-06-03-
dc.identifier.issn0161-6412-
dc.identifier.urihttps://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/1345-
dc.description.abstractBackground: 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.language영어-
dc.language.isoen-
dc.publisherTAYLOR & FRANCIS LTD-
dc.relation.isPartOfNEUROLOGICAL RESEARCH-
dc.subjectINTERNAL CAROTID-ARTERY-
dc.subjectENDOVASCULAR TREATMENT-
dc.subjectENTERPRISE STENTS-
dc.titleForward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes-
dc.typeArticle-
dc.type.rimsART-
dc.description.journalClass1-
dc.identifier.wosid000467942800008-
dc.identifier.doi10.1080/01616412.2019.1584424-
dc.identifier.bibliographicCitationNEUROLOGICAL RESEARCH, v.41, no.6, pp.562 - 568-
dc.identifier.scopusid2-s2.0-85062440323-
dc.citation.endPage568-
dc.citation.startPage562-
dc.citation.titleNEUROLOGICAL RESEARCH-
dc.citation.volume41-
dc.citation.number6-
dc.contributor.affiliatedAuthorKim, Myeong Jin-
dc.type.docTypeArticle-
dc.subject.keywordAuthorBlood blister-like aneurysm-
dc.subject.keywordAuthorstent-assisted coiling-
dc.subject.keywordAuthormultiple overlapping stents-
dc.subject.keywordAuthorsubarachnoid hemorrhage-
dc.subject.keywordPlusINTERNAL CAROTID-ARTERY-
dc.subject.keywordPlusENDOVASCULAR TREATMENT-
dc.subject.keywordPlusENTERPRISE STENTS-
dc.relation.journalResearchAreaNeurosciences & Neurology-
dc.relation.journalWebOfScienceCategoryClinical Neurology-
dc.relation.journalWebOfScienceCategoryNeurosciences-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
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