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재발한 뇌동맥류의 치료

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Affiliated Author(s)
임만빈김엘이창영손은익김동원
Alternative Author(s)
Yim, Man BinKim, ElLee, Chang YoungSon, Eun IkKim, Dong Won
Journal Title
대한신경외과학회지
ISSN
1225-8245
Issued Date
2003
Abstract
Objective:The aim of this study is to make a management strategy for the patients with recurrent cerebral aneurysm after surgery.
Methods:Over a 19-year period, 1,546 patients were treated for a ruptured intracranial aneurysm surgically. Twenty-six of these patients(1.7%) were subsequently treated for regrowing aneurysm(8) or de novo aneurysm formation(26). Among them, twenty-three individuals who presented with recurrent subarachnoid hemorrhage underwent conventional angiography to detect the aneurysm recurrence. Three-dimensional computed tomographic angiography was performed in the remaining three patients who complained chronic headache. The mean age at the first surgery was 48.6 years. An interval ranging from 1 to 192 months(mean, 76.1 months) since the original treatment.
Results:Total 34 recurrent aneurysms in 26 patients were treated by microsurgical clipping(29 cases), wrapping(1 case), and endovascular coiling(4 cases) as a second procedure. A satisfactory outcomes were achieved in twenty-one patients(80.8%) during a mean 69.5 months follow-up period. The most common site of the recurrence was the internal carotid-posterior communicating artery. Patients with de novo aneurysms are frequently hypertensive(61.1%) and younger in age(55.6%).
Conclusion:The treatment of recurrent cerebral aneurysm could be performed effectively using direct operations and/or endovascular procedures.
Alternative Title
Treatment for Recurrent Cerebral Aneurysm
Department
Dept. of Neurosurgery (신경외과학)
Brain Research Institute (뇌연구소)
Publisher
School of Medicine
Citation
박종수 et al. (2003). 재발한 뇌동맥류의 치료. 대한신경외과학회지, 33(5), 472–476.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39216
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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