Journal of Korean Neurosurgical Society

  • 제48권3호
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  • Pages.207-212
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Endovascular Treatment of Wide-Necked Intracranial Aneurysms Using Balloon-Assisted Technique with HyperForm Balloon

  • Youn, Sang-O (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Jae-Il (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Ko, Jun-Kyung (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Tae-Hong (Department of Neurosurgery, School of Medicine, Pusan National University) ;
  • Choi, Chang-Hwa (Department of Neurosurgery, School of Medicine, Pusan National University)
  • 투고 : 2010.07.01
  • 심사 : 2010.09.17
  • 발행 : 2010.09.28
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초록

Objective : To assess the feasibility, safety, and effectiveness of the balloon-assisted technique with HyperForm balloon in the endovascular treatment of wide-necked intracranial aneurysms. Methods : A total of 34 patients with 34 wide-necked intracranial aneurysms were treated with endovascular coil embolization using balloon-assisted technique with Hyperform balloon. Twenty-nine aneurysms (85.3%) were located in the anterior circulation. The group of patients was comprised of 16 men and 18 women, aged 33 to 72 years (mean : 60.6 years). The size of aneurysms was in the range of 2.0 to 22.0 mm (mean 5.5 mm) and one of neck was 2.0 to 11.9 mm (mean 3.8 mm). The dome to neck ratio was ranged from 0.83 to 1.43 (1.15). Sixteen patients were treated for unruptured aneurysms and the remaining 18 presented with a subarachnoid hemorrhage. Results : In the 34 aneurysms treated by the remodeling technique with HyperForm balloon, immediate angiographic results consisted of total occlusion in 31 cases (91.2%) and partial occlusion in three cases (8.8%). There were five procedure-related complications (14.7%), including two coil protrusions and three thromboembolisms; Except one patient, all were successfully resolved without permanent neurologic deficit. No new bleeding occurred during the follow-up. Twenty patients (59%) underwent angiographic follow-up from 2 to 33 months (mean 9.2 months) after treatment. Focal recanalization with coil compaction of the neck portion was observed in 5 cases (25%). Only one case showed major recanalization and underwent stent-assisted coil embolization. Conclusion : The balloon-assisted technique with Hyperform balloon is a feasible, safe, and effective endovascular treatment of wide-necked cerebral aneurysms.

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참고문헌

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  1. Stent-Assisted Coiling of Wide-Necked Aneurysms in the Setting of Acute Subarachnoid Hemorrhage vol.70, pp.6, 2012, https://doi.org/10.1227/neu.0b013e318246a4b1
  2. In vivo embolization of lateral wall aneurysms in canines using the liquid-to-solid gelling PPODA-QT polymer system: 6-month pilot study : Laboratory investigation vol.119, pp.1, 2010, https://doi.org/10.3171/2013.3.jns121865
  3. Various Techniques of Stent-Assisted Coil Embolization of Wide-Necked or Fusiform Middle Cerebral Artery Aneurysms : Initial and Mid-Term Results vol.53, pp.5, 2010, https://doi.org/10.3340/jkns.2013.53.5.274
  4. Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon vol.8, pp.1, 2010, https://doi.org/10.1136/neurintsurg-2014-011466
  5. Endovascular Treatment of Wide Neck Aneurysms vol.6, pp.12, 2010, https://doi.org/10.3889/oamjms.2018.443
  6. Application of a rabbit-elastase aneurysm model for preliminary histology assessment of the PPODA-QT liquid embolic vol.12, pp.None, 2010, https://doi.org/10.25259/sni_163_2021
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