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Objective : Complex aneurysms such as fusiform and very small aneurysms (< 3 mm) are challenging in neurovascular and endovascular surgery.

Author reports follow-up results of 9 cases treated by sole stent technique with pertinent literature review.

Methods : A retrospective study was made of 9 patients who were treated by sole stenting technique for cerebral aneurysm between January

2003 and January 2009. Two of them had fusiform aneurysm, 5 had very small aneurysm, and 2 had small saccular aneurysm. Five patients had

ruptured aneurysms and four had unruptured aneurysms. Seven aneurysms were located in the internal carotid artery (ICA), 1 in the middle

cerebral artery (MCA) and 1 in the basilar artery. Follow-up cerebral angiography was performed at post-procedure 3 months, 6 months, and 12

months. Mean follow-up period is 30 months (ranged from 3 days to 30 months).

Results : Aneurysm size was decreased in 6 of 9 cases on follow-up images and was not changed in 3 cases. Although total occlusion was not

seen, patients had stable neurological condition and angiographic result. The procedural complication occurred in 2 cases. One was coil

migration and the other was suboptimal deployment of stent, and both were asymptomatic. Re-bleeding and thromboembolic complication had

not been occurred.

Conclusion : Sole stenting technique is relatively effective and safe as an alternative treatment for fusiform and very small aneurysms.

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Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation Dong Yeob Lee ; Chan Shik Shim ; Yong Ahn ; Young-Geun Choi ; Ho Jin Kim ; Sang-Ho Lee pp.515-521

The incidence and clinical implications of congenital defects of atlantal arch Jong Kyu Kwon ; Myoung Soo Kim ; Ghi Jai Lee pp.522-527

Enhancing box sign : enhancement pattern of acute osteoprotic[i.e. osteoporotic] compression fracture Choong-Hyo Kim ; Jae Hyo Park ; Sang Ki Chung ; Ki-Jeong Kim ; Jae Seung Bang ; Hyun-Jib Kim pp.528-531

Surgical outcome of cervical arthroplasty using Bryan^® ^ Hong-Ki Kim ; Myung-Hyun Kim ; Do-Sang Cho ; Sung-Hak Kim pp.532-537

Clinical results of Cyberknife^® ^ radiosurgery for spinal metastases Ung-Kyu Chang ; Sang Min Youn ; Sukh Que Park ; Chang Hun Rhee pp.538-544

Sole stenting technique for treatment of complex aneurysms Young-Joon Kim pp.545-551

Inhibitory effect of IFN-β, on the antitumor activity of celecoxib in U87 glioma model Eun-Kyoung Kim ; Dong-Sup Chung ; Hye-jin Shin ; Yong-Kil Hong pp.552-557

Association of HLA-DR and -DQ genes with familial Moyamoya disease in Koreans Seok Ho Hong ; Kyu-Chang Wang ; Seung-Ki Kim ; Byung-Kyu Cho ; Myoung Hee Park pp.558-563

Rapid progression of early delayed radiation effect in pleomorphic xanthoastrocytoma Kyung Jae Park ; Shin-Hyuk Kang ; Hoon Kap Lee ; Yong Gu Chung pp.564-567

Saccular aneurysm at the anterior communicating artery complex associated with an accessory middle cerebral artery : report of two cases and review of the literature Dong-Hun Kang ; Jaechan Park ; Seong-Hyun Park ; In-Suk Hamm pp.568-571

Endovascular graft-stent placement for treatment of traumatic carotid cavernous fistulas Beom Jin Choi ; Tae Hong Lee ; Chang Won Kim ; Chang Hwa Choi pp.572-576

A case of ruptured peripheral aneurysm of the anterior inferior cerebellar artery associated with an arteriovenous malformation : a less invasive image-guided transcortical approach Seung Hwan Lee ; Jun Seok Koh ; Jae Seung Bang ; Gook Ki Kim pp.577-580

Abducens nerve palsy after lumbar spinal fusion surgery with inadvertent dural tearing Dae-Chul Cho ; Eul-Soo Jung ; Yong-Chul Chi pp.581-583

Contralateral pedicular fracture with unilateral spondylolysis In-Ho Jeong ; Eai-Hong Hwang ; Weon-Tae Bae pp.584-587

Brain magnetic resolution imaging to diagnose Bing-Neel syndrome Ho-Jung Kim ; Sang-il Suh ; Joo Han Kim ; Byung-Jo Kim pp.588-591

Cerebellar hemorrhage after burr hole drainage of supratentorial chronic subdural hematoma Sang Hoon Chang ; Seung-Ho Yang ; Byung Chul Son ; Sang Won Lee pp.592-595

참고문헌 (33건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling. 네이버 미소장
2 Endovascular management of intracranial vertebral artery dissecting aneurysms. 네이버 미소장
3 ENDOVASCULAR TREATMENT OF DISTAL CERVICAL AND INTRACRANIAL DISSECTIONS WITH THE NEUROFORM STENT 네이버 미소장
4 Treatment of a Ruptured Dissecting Vertebral Artery Aneurysm with Double Stent Placement: Case Report 네이버 미소장
5 Endovascular treatment of very small intracranial aneurysms 네이버 미소장
6 Intravascular Graft Stent Treatment of a Ruptured Fusiform Dissecting Aneurysm of the Intracranial Vertebral Artery: Technical Case Report 네이버 미소장
7 Debrun G, Fox AJ, Drake CG, Peerless S, Girvin J, Ferguson G : Giant unclippable aneurysm : treatment with detachable balloons. Am J Neuroradiol 2 : 167-173, 1981 미소장
8 Doerfler A, Wanke I, Egelhof T, Stolke D, Forsting M : Doublestent method : therapeutic alternative for small wide-necked aneurysms. Technical note. J Neurosurg 100 : 150-154, 2004 미소장
9 Drake C, Peerless S : Giant fusiform intracranial aneurysm : review of 120 patients treated surgically from 1965-1992. J Neurosurg 87 :141-162, 1997 미소장
10 Endovascular Reconstruction with the Neuroform Stent as Monotherapy for the Treatment of Uncoilable Intradural Pseudoaneurysms 네이버 미소장
11 Neuroform In-stent Stenosis: Incidence, Natural History and Treatment Strategies. 네이버 미소장
12 Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. 네이버 미소장
13 Ischemic Basilar Artery Dissecting Aneurysm Treated by Stenting Only : Case Report 네이버 미소장
14 Failure of stent-assisted endovascular treatment for ruptured dissecting aneurysms of the basilar artery 네이버 미소장
15 Early Experiences of Neuroform Stent-Assisted Coiling in Ruptured Intracranial Aneurysms 네이버 미소장
16 QUANTIFICATION OF HEMODYNAMIC CHANGES INDUCED BY VIRTUAL PLACEMENT OF MULTIPLE STENTS ACROSS A WIDE-NECKED BASILAR TRUNK ANEURYSM 네이버 미소장
17 Brainstem Infarction after Delayed Thrombosis of a Stented Vertebral Artery Fusiform Aneurysm: Case Report 네이버 미소장
18 Histological Postmortem Study of an Internal Carotid Artery Aneurysm Treated with the Neuroform Stent 네이버 미소장
19 Fate of Branch Arteries after Intracranial Stenting 네이버 미소장
20 Circumferential and fusiform intracranial aneurysms: reconstructive endovascular treatment with self-expandable stents 네이버 미소장
21 Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. 네이버 미소장
22 Study of the patency of small arterial branches after stent placement with an experimental in vivo model. 네이버 미소장
23 Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms. 네이버 미소장
24 Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms. 네이버 미소장
25 Mohr JP, Choi D, Grotta J, Wolf P : Stroke : Pathophysiology, Diagnosis, and Management, 4th ed. Philadelphia, Churchill Livingson, 2004, pp 1318 미소장
26 LEO stent monotherapy for the endovascular reconstruction of fusiform aneurysms of the middle cerebral artery. 네이버 미소장
27 Rhee K, Han MH, Cha SH : Changes of flow characteristics by stenting in aneurysm models : influence of aneurysm geometry and stent porosity. Ann Biomed Eng 30 : 894-904, 2002 미소장
28 Deliberate basilar or vertebral artery occlusion in the treatment of intracranial aneurysms 네이버 미소장
29 Vanninen R, Manninen H, Ronkainen A : Broad-based intracranial aneurysms : thrombosis induced by stent placement. Am J Neuroradiol 24 : 263-266, 2003 미소장
30 Stent-assisted reconstructive endovascular repair of cranial fusiform atherosclerotic and dissecting aneurysms: long-term clinical and angiographic follow-up. 네이버 미소장
31 Wakhloo AK, Tio FO, Lieber BB, Schellhammer F, Graf M, Hopkins LN : Self-expanding nitinol stents in canine vertebral arteries : hemodynamics and tissue response. Am J Neuroradiol 16 : 1043- 1051, 1995 미소장
32 Yavuz K, Geyik S, Saatci I, Cekirge HS : WingSpan Stent System in the endovascular treatment of intracranial aneurysms : clinical experience with midterm follow-up results. J Neurosurg 109 : 445-453, 2008 미소장
33 Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients. 네이버 미소장

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