Full metadata record
DC Field | Value | Language |
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dc.contributor.author | 김성학 | - |
dc.contributor.author | 황승균 | - |
dc.date.accessioned | 2016-08-28T12:08:26Z | - |
dc.date.available | 2016-08-28T12:08:26Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 2005-3711 | - |
dc.identifier.other | OAK-5972 | - |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/220292 | - |
dc.description.abstract | Objective : We describe our clinical experiences and outcomes in patients who had thromboembolic complications occurring during endovascular treatment of intracerebral aneurysms with a review of the literature. The types of thromboembolic complications were divided and the treatment modalities for each type were described. Methods : Between August 2004 and March 2009 we performed endovascular embolization with Guglielmi detachable coils for 173 patients with 189 cerebral aneurysms, including ruptured and unruptured aneurysms at our hospital. Sixty-eight patients were males and 105 patients were females. The age of patients ranged from 22-82 years (average, 58.8 years). We retrospectively evaluated this group with regard to complication rates and outcomes. The types of thromboembolic complications were classified into the following three categories: mechanical obstruction, distal embolic stroke, and stent-induced complications, which corresponded to types I, II, and III, respectively. A comparison of the clinical results was made for each type of complication. Results : Only eight patients had a thromboembolic complication during or after a procedure (4.6%). Of the eight patients, two had a mechanical obstruction as the causative factor; the other three patients had distal embolic stroke as the causative factor. The remaining three patients had stent-induced complications. In cases of mechanical obstruction, recanalization occurred due to the use of intra-arterial thrombolytic agents in one of two patients. Nevertheless, a poor prognosis was seen. In the cases of stent-induced complications, in one of three patients in whom a thrombus developed following stent insertion, a middle cerebral artery territory infarct developed with a poor prognosis despite the use of wiring and an intra-arterial thrombolytic agent. In the cases of distal embolic stroke, all three patients achieved good results following the use of antiplatelet agents. Conclusion : Treatment for thromboemboic complications due to mechanical obstruction and stent-induced complications include antiplatelet and intra-arterial thrombolytic agents; however, this cannot guarantee a sufficient extent of effectiveness. Therefore, active treatments, such as balloon angioplasty, stent insertion, and clot extraction, are helpful. Copyright ©2009 The Korean Neurosurgical Society. | - |
dc.language | English | - |
dc.title | Types of thromboembolic complications in coil embolization for intracerebral aneurysms and management | - |
dc.type | Article | - |
dc.relation.issue | 3 | - |
dc.relation.volume | 46 | - |
dc.relation.index | SCIE | - |
dc.relation.index | SCOPUS | - |
dc.relation.startpage | 226 | - |
dc.relation.lastpage | 231 | - |
dc.relation.journaltitle | Journal of Korean Neurosurgical Society | - |
dc.identifier.doi | 10.3340/jkns.2009.46.3.226 | - |
dc.identifier.wosid | WOS:000270839100009 | - |
dc.identifier.scopusid | 2-s2.0-73249130769 | - |
dc.author.google | Kim H.-K. | - |
dc.author.google | Hwang S.-K. | - |
dc.author.google | Kim S.-H. | - |
dc.contributor.scopusid | 김성학(36079886100) | - |
dc.contributor.scopusid | 황승균(35187436400) | - |
dc.date.modifydate | 20180403152713 | - |