Coil embolization of the middle cerebral artery bifurcation aneurysms: Feasibility and durability
DC Field | Value | Language |
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dc.contributor.author | Byoun, Hyoung Soo | - |
dc.contributor.author | Lim, Jeong-Wook | - |
dc.contributor.author | Han, Myung-Hoon | - |
dc.contributor.author | Jeong, Eun-Oh | - |
dc.contributor.author | Koh, Hyeon-Song | - |
dc.contributor.author | Kwon, Hyon-Jo | - |
dc.date.accessioned | 2024-07-25T08:00:30Z | - |
dc.date.available | 2024-07-25T08:00:30Z | - |
dc.date.issued | 2024-08 | - |
dc.identifier.issn | 0967-5868 | - |
dc.identifier.issn | 1532-2653 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/194944 | - |
dc.description.abstract | Objective: To evaluate the feasibility and durability of coil embolization for MCAB aneurysms by analyzing clinical and radiological results. Methods: From January of 2008 to June of 2018, we treated a total of 1785 aneurysms using coil embolization. The aneurysms were treated by both coiling and stent-assisted coiling. Among these cases, 223 MCAB aneurysms were analyzed retrospectively. Clinical and radiological assessments were conducted at admission, after treatment, at discharge, and at last clinical follow-up. Results: Coil embolization was performed on 223 MCAB aneurysms in 217 patients. Peri-procedural ischemic, hemorrhagic, and other complications within 30 days after coil embolization occurred at rates of 8.0 %, 8.0 %, and 2.0 %, respectively, in the ruptured group and at 2.9 %, 1.2 %, and 0 %, respectively, in the unruptured group. The overall morbidity and mortality rates associated with complications were 2.3 % and 2.0 %. The cumulative major recurrence rates were 5.1 % at 12 months, 7.1 % at 18 months, and 11.9 % at three years after coil embolization. The mean follow-up period was 33.27 ± 25.48 months. Independent risk factors for major recurrence after coil embolization for MCAB aneurysms were a ruptured aneurysm, initial incomplete occlusion, the aneurysm size, and the neck size. Conclusion: Coil embolization is a good alternative treatment option for MCAB aneurysms compared to surgical clipping. Considering the risk factors for major recurrence, the follow-up angiography should continue up to three years after coil embolization. | - |
dc.format.extent | 13 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Churchill Livingstone | - |
dc.title | Coil embolization of the middle cerebral artery bifurcation aneurysms: Feasibility and durability | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1016/j.jocn.2024.06.016 | - |
dc.identifier.scopusid | 2-s2.0-85198056383 | - |
dc.identifier.wosid | 001269436900001 | - |
dc.identifier.bibliographicCitation | Journal of Clinical Neuroscience, v.126, pp 294 - 306 | - |
dc.citation.title | Journal of Clinical Neuroscience | - |
dc.citation.volume | 126 | - |
dc.citation.startPage | 294 | - |
dc.citation.endPage | 306 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Neurosciences | - |
dc.subject.keywordPlus | RUPTURED INTRACRANIAL ANEURYSMS | - |
dc.subject.keywordPlus | PROPENSITY SCORE ANALYSIS | - |
dc.subject.keywordPlus | ENDOVASCULAR TREATMENT | - |
dc.subject.keywordPlus | SUBARACHNOID HEMORRHAGE | - |
dc.subject.keywordPlus | PACKING DENSITY | - |
dc.subject.keywordPlus | OCCLUSION | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordPlus | RECURRENCES | - |
dc.subject.keywordPlus | COMPACTION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordAuthor | Aneurysm | - |
dc.subject.keywordAuthor | Coil embolization | - |
dc.subject.keywordAuthor | Durability | - |
dc.subject.keywordAuthor | Feasibility | - |
dc.subject.keywordAuthor | Middle cerebral artery bifurcation | - |
dc.subject.keywordAuthor | Outcome | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S0967586824002546?via%3Dihub | - |
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