Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안재민 | - |
dc.contributor.author | 오재상 | - |
dc.contributor.author | 윤석만 | - |
dc.contributor.author | 심재현 | - |
dc.contributor.author | 오혁진 | - |
dc.contributor.author | 배학근 | - |
dc.date.accessioned | 2021-08-11T15:44:19Z | - |
dc.date.available | 2021-08-11T15:44:19Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 2234-8565 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8120 | - |
dc.description.abstract | Objective : We evaluate the rates and outcomes of major procedure-related complications during coiling. Materials and Methods : Between 2007 and 2015, 436 intracranial saccular aneurysms were treated. Complications are categorized as three types: intraprocedural aneurysm rupture (IAR), thromboembolism (TE), and post-procedural early rebleeding (PER). And we evaluated the risk factors of procedure related complications by multivariate analysis. Results : Complications occurred in 61 aneurysms (14%). The overall incidence of complications in subarachnoid hemorrhage (SAH) was significantly higher than in unruptured intracranial aneurysm (UIA) (20% vs. 6%). The incidence of IAR and TE were higher in SAH than in UIA (IAR 12% vs. 4%, TE 7% vs. 3%, p < 0.05). Five PER occurred only in SAH. In 34 UIA which were treated with balloon-assisted coiling (BAC), all these patients had good recovery despite 3 patients had the IAR. The incidence of IAR and TE were not different between BAC and non-BAC groups (p > 0.05). All 7 patients who had IAR during BAC had good recovery. In multiple logistic regression analysis, female gender, SAH, and intraventricular hemorrhage were associated with procedure related complication (p < 0.05). Conclusion : Endovascular coil embolization is a minimally invasive procedure, but incidence of its complication is not low, especially in SAH. BAC can be a good tool to avoid poor outcome from unexpected IAR during coiling. While IA tirofiban injection is a useful therapy in TE during coiling, sometimes we are aware of the risk of the early rebleeding in SAH patients. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한뇌혈관외과학회 | - |
dc.title | Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms | - |
dc.title.alternative | Procedure-related Complications during Endovascular Treatment of Intracranial Saccular Aneurysms | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 오재상 | - |
dc.contributor.affiliatedAuthor | 윤석만 | - |
dc.identifier.doi | 10.7461/jcen.2017.19.3.162 | - |
dc.identifier.bibliographicCitation | Journal of Cerebrovascular and Endovascular Neurosurgery, v.19, no.3, pp.162 - 170 | - |
dc.relation.isPartOf | Journal of Cerebrovascular and Endovascular Neurosurgery | - |
dc.citation.title | Journal of Cerebrovascular and Endovascular Neurosurgery | - |
dc.citation.volume | 19 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 162 | - |
dc.citation.endPage | 170 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002274570 | - |
dc.description.journalClass | 2 | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Aneurysm | - |
dc.subject.keywordAuthor | Coil embolization | - |
dc.subject.keywordAuthor | Intraprocedural aneurysm rupture | - |
dc.subject.keywordAuthor | Thromboembolism | - |
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