Cited 0 times in Scipus Cited Count

Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms.

DC Field Value Language
dc.contributor.authorKim, BM-
dc.contributor.authorShin, YS-
dc.contributor.authorKim, SH-
dc.contributor.authorSuh, SH-
dc.contributor.authorIhn, YK-
dc.contributor.authorKim, DI-
dc.contributor.authorKim, DJ-
dc.contributor.authorPark, SI-
dc.date.accessioned2012-05-07T06:54:43Z-
dc.date.available2012-05-07T06:54:43Z-
dc.date.issued2011-
dc.identifier.issn0039-2499-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/6812-
dc.description.abstractBACKGROUND AND PURPOSE: The incidence and risk factors for recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms (VBDAs) have not been studied. We aimed to evaluate the incidence and risk factors for recurrence after endovascular treatment of VBDAs.



METHODS: A total of 111 patients (mean age, 45±10 years) underwent endovascular treatment for 119 VBDAs (ruptured/unruptured=73:46). Incidence and risk factors for recurrence were retrospectively evaluated.



RESULTS: Sixty-two VBDAs were treated by a reconstructive technique by using 1 to 3 overlapping stents with or without coiling, and 57 VBDAs were treated by a deconstructive technique by using proximal occlusion or internal trapping at the dissected segment of the parent artery. Follow-up angiography was available for 97 VBDAs (81.5%) in 89 patients at 3 days to 48 months (median, 13 months) after treatment. There were 13 recurrences: 6 had rebleeding but 7 had no rebleeding. All 6 hemorrhagic recurrences had initially presented with a ruptured form. Ten recurrences were confirmed by angiography, but 3 recurrences with rebleeding did not receive follow-up angiography. The rate of post-treatment recurrence did not differ between reconstructive and deconstructive treatments. Involvement of the posterior inferior cerebellar artery origin (odds ratio=8.026; 95% confidence interval, 1.561 to 41.259; P=0.013) was the only independent risk factor for recurrence.



CONCLUSIONS: There was a 13% recurrence after endovascular treatment of VBDAs. Posterior inferior cerebellar artery origin involvement was the only independent risk factor for recurrence after endovascular treatment of VBDAs.
-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAneurysm, Dissecting-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHIntracranial Aneurysm-
dc.subject.MESHIntracranial Hemorrhages-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRecurrence-
dc.subject.MESHStents-
dc.subject.MESHTime Factors-
dc.titleIncidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms.-
dc.typeArticle-
dc.identifier.pmid21778439-
dc.identifier.urlhttp://stroke.ahajournals.org/cgi/pmidlookup?view=long&pmid=21778439-
dc.contributor.affiliatedAuthor김, 세혁-
dc.type.localJournal Papers-
dc.identifier.doi10.1161/STROKEAHA.111.617381-
dc.citation.titleStroke-
dc.citation.volume42-
dc.citation.number9-
dc.citation.date2011-
dc.citation.startPage2425-
dc.citation.endPage2430-
dc.identifier.bibliographicCitationStroke, 42(9). : 2425-2430, 2011-
dc.identifier.eissn1524-4628-
dc.relation.journalidJ000392499-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse