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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 987 - 992 (6page)
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초록· 키워드
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Purpose: The operative risk and natural history rupture risk for the treatment of unrupturedintracranial aneurysms (UIAs) should be evaluated. The purpose of this study was to report our experience with treating UIAs and to outline clinical risk factors associated with procedure-related major neurological complications. Materialsand Methods: We treated 1158 UIAs in 998 patients over the last 14 years. All patients underwent operation performed by a single microvascular surgeon and two interventionists at a single institution. Patient factors, aneurysm factors, and clinical outcomes were analyzed in relation to procedure-related complications. Results:The total complication rate was 22 (2.2%) out of 998 patients. Among them, complications developed in 14 (2.3%) out of 612 patients who underwent microsurgeryand in 8 (2.1%) out of 386 patients who underwent endovascular procedures. One patient died due to intraoperative rupture during an endovascular procedure. The procedure-related complication was highly correlated with age (p=0.004), hypertension(p=0.002), and history of ischemic stroke (p<0.001) in univariate analysis.
The multivariate analysis revealed previous history of ischemic stroke (p=0.001) to be strongly correlated with procedure-related complications. Conclusion: A historyof ischemic stroke was strongly correlated with procedure-related major neurologicalcomplications when treating UIAs. Accordingly, patients with UIAs who have a previous history of ischemic stroke might be at risk of procedure-related majorneurological complications.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Abou-Chebl A / 2010 / Conscious sedation versus general anesthesia during endovascular therapy for acute anterior circulation stroke: preliminary results from a retrospectiv
Bekelis K / 2014 / Predicting inpatient complications from cerebral aneurysm clipping: the Nationwide Inpatient Sample 2005-2009 / J Neurosurg 120 : 591 ~ 598
Brinjikji W / 2011 / Better outcomes with treatment by coiling relative to clipping of unruptured intracranial aneurysms in the United States, 2001-2008 / AJNR Am J Neuroradi
Eftekhar B / 2011 / Preoperative factors affecting the outcome of unruptured posterior circulation aneurysm surgery / J Clin Neurosci 18 : 85 ~ 89
Ferch R / 2002 / Temporary arterial occlusion in the repair of ruptured intracranial aneurysms: an analysis of risk factors for stroke / J Neurosurg 97 : 836 ~ 842
Bekelis K / 2014 / Predicting inpatient complications from cerebral aneurysm clipping: the Nationwide Inpatient Sample 2005-2009 / J Neurosurg 120 : 591 ~ 598
Brinjikji W / 2011 / Better outcomes with treatment by coiling relative to clipping of unruptured intracranial aneurysms in the United States, 2001-2008 / AJNR Am J Neuroradi
Eftekhar B / 2011 / Preoperative factors affecting the outcome of unruptured posterior circulation aneurysm surgery / J Clin Neurosci 18 : 85 ~ 89
Ferch R / 2002 / Temporary arterial occlusion in the repair of ruptured intracranial aneurysms: an analysis of risk factors for stroke / J Neurosurg 97 : 836 ~ 842
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