Comparison of Long-Term Angiographic Results of Wide-Necked Intracranial Aneurysms : Endovascular Treatment with Single-Microcatheter Coiling, Double-Microcatheter Coiling, and Stent-Assisted Coiling
DC Field | Value | Language |
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dc.contributor.author | Hyun Sik Kim | - |
dc.contributor.author | Byung-Moon Cho | - |
dc.contributor.author | Chan Jong Yoo | - |
dc.contributor.author | Dae Han Choi | - |
dc.contributor.author | Dong Keun Hyun | - |
dc.contributor.author | Yu Shik Shim | - |
dc.contributor.author | Joon Ho Song | - |
dc.contributor.author | Jae Keun Oh | - |
dc.contributor.author | Jun Hyong Ahn | - |
dc.contributor.author | Ji Hee Kim | - |
dc.contributor.author | In Bok Chang | - |
dc.date.accessioned | 2021-09-20T06:40:30Z | - |
dc.date.available | 2021-09-20T06:40:30Z | - |
dc.date.created | 2021-09-01 | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/82180 | - |
dc.description.abstract | Objective : Endovascular treatment of intracranial aneurysms is challenging in case of wide-necked aneurysms because coils are prone to herniate into the parent artery, causing thromboembolic events or vessel occlusion. This study aims to compare long-term angiographic results of wide-necked aneurysms treated by stent-assisted, double-microcatheter, or single-microcatheter groups. Methods : Between January 2003 and October 2016, 108 aneurysms that were treated with endovascular coil embolization with a neck size wider than 4 mm and a follow-up period of more than 3 years were selected. We performed coil embolization with singlemicrocatheter, double-microcatheter, and stent-assisted techniques. Angiographic results were evaluated using the Raymond-Roy occlusion classification (RROC). All medical and angiographic records were reviewed retrospectively. Results : Clinical and angiographic analyses were conducted in 108 wide-necked aneurysms. The immediate post-procedural results revealed RROC class I (complete occlusion) in 66 cases (61.1%), class II (residual neck) in 36 cases (33.3%), and class III (residual sac) in six cases (5.6%). The final follow-up results revealed class I in 48 cases (44.4%), class II in 49 cases (45.4%), and class III in 11 cases (10.2%). Of a total of 45 (41.6%) radiologic recurrences, there were 21 cases (19.4%) of major recurrence that required additional treatment, and 24 cases (22.2%) of minor recurrence. The final follow-up angiographic results showed statistically significant differences between the stent-assisted group and the others (p<0.01). Conclusion : Long-term follow-up angiography demonstrated that the stent-assisted technique had a better complete occlusion rate than the other two techniques. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한신경외과학회 | - |
dc.relation.isPartOf | 대한신경외과학회지 | - |
dc.title | Comparison of Long-Term Angiographic Results of Wide-Necked Intracranial Aneurysms : Endovascular Treatment with Single-Microcatheter Coiling, Double-Microcatheter Coiling, and Stent-Assisted Coiling | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000695236500009 | - |
dc.identifier.doi | 10.3340/jkns.2021.0010 | - |
dc.identifier.bibliographicCitation | 대한신경외과학회지, v.64, no.5, pp.751 - 762 | - |
dc.identifier.kciid | ART002750705 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85116511499 | - |
dc.citation.endPage | 762 | - |
dc.citation.startPage | 751 | - |
dc.citation.title | 대한신경외과학회지 | - |
dc.citation.volume | 64 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | Chan Jong Yoo | - |
dc.contributor.affiliatedAuthor | Dae Han Choi | - |
dc.subject.keywordAuthor | Intracranial aneurysm | - |
dc.subject.keywordAuthor | wide necked · Endovascular procedures · Embolization · Stent-assisted coiling | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | kci | - |
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