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Unruptured Paraclinoid Carotid Aneurysms Occur More Frequently in Younger Ages

Kawaguchi R, Miyachi S, Ohshima T, Matsuo N

Purpose: We investigated the age distribution of cerebral saccular aneurysms in various locations to clarify the differences by location and discuss the mechanism of formation. Materials and Methods: We retrospectively assessed...
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Unrecognized Ruptured Intracranial Aneurysm Presenting as Cerebral Vasospasm-Induced Ischemic Stroke: A Case Report

Kim JG, Kang CH, Choi JC, Rhim JK

A 44-year-old woman presented with acute confusion, apparently due to a clinically silent subarachnoid hemorrhage followed by vasospasm, which in turn led to an ischemic stroke. During the initial evaluation,...
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Staged Approach for Stent-Assisted Coiling of Cerebral Aneurysms after Failure of Initial Intra-Saccular Catheterization

Al-Abdulwahhab AH, Lee DH, Song Y, Suh DC

Purpose: Microcatheter navigation into an aneurysm sac can present difficulties through negative interactions between the deployed stent mesh and microcatheter. We hypothesized that endothelialization of the stent mesh would minimize...
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Peri-Aneurysmal Brain Edema in Native and Treated Aneurysms: The Role of Thrombosis

Onofrj V, Tampieri D, Cianfoni A, Ventura E

Cerebral peri-aneurysmal edema (PE) is typically associated with giant partially-thrombosed aneurysms and less frequently with smaller aneurysms treated with endovascular embolization. An understanding of the pathophysiologic mechanism of PE is...
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Adjustment of Malpositioned Woven EndoBridge Device Using Gooseneck Snare: Complication Management Technique

Amuluru K, Al-Mufti F, Sahlein DH, Scott J, Denardo A

The Woven EndoBridge (WEB) is an intrasaccular flow-disrupting device for the treatment of wide-necked saccular cerebral aneurysms. As with any neuroendovascular device, complications in the form of malpositioning and migration...
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Does Systemic Lupus Erythematosus Increase the Riskof Procedure-Related Complication in EndovascularTreatment of Intracranial Aneurysm?

Lee JH, Lee SW, Choi CH, Ko JK

Cerebral aneurysms associated with systemic lupus erythematosus (SLE) are more likely to grow rapidly and rupture, compared to those found in the general population. The main underlying pathology of intracranial aneurysm...
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Delayed Cerebral Aneurysm Formation after Complete Resection of Cardiac Myxoma

Ahn HS, Kim KW, Park KY, Jung HJ, Jeong DY, Kim BJ, Kim JS

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National Trends in the Treatment of Ruptured Cerebral Aneurysms in Korea Using an Age-adjusted Method

Park HR, Kim JH, Park S, Chang JC, Park SQ

Background: Two primary treatment methods are used for ruptured cerebral aneurysms, surgical clipping and endovascular coiling. In recent decades, endovascular coiling has shown remarkable progress compared to surgical clipping, along...
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Endovascular treatment of ruptured tiny aneurysms

Kim JH, Choi CH, Lee JI, Lee TH, Ko JK

OBJECTIVE: Endovascular coiling of ruptured tiny aneurysms (RTAs) in the brain has been known to be technically challenging owing to the higher rate of adverse events, such as thromboembolism and...
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New Pathophysiological Considerations on Cerebral Aneurysms

Jung KH

Cerebral aneurysm is a common cerebrovascular disease that is sometimes complicated by rupture or an enlarged mass. We are now aggressively evaluating and managing unruptured cerebral aneurysms based on a...
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Cerebral Aneurysms in Judicial Precedents

Lee KS, Shim JJ, Shim JH, Oh JS, Yoon SM

OBJECTIVE: From November 30, 2016, the Korean Government carried the revised Medical Dispute Mediation and Arbitration Act into effect. Mediation will start automatically without agreements of the defendant, when the...
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Recurrence of Small Cerebral Aneurysms (< 4 mm) Treated Endovascularly Using Target® Nano™ Coils

Kim SM, Lee HG, Choi BS, Kim JS, Lee SJ, Kim HY, Kim ST, Jeong YG, Baek JW, Jeong HW, Jin SC

OBJECTIVE: In our series, endovascular coiling with Target® Nano™ coils (Stryker Neurovascular, Fremont, CA, USA) with diameters of 1 or 1.5 mm exhibited favorable technical feasibility in the treatment of...
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Size Reduction of an Intracranial Aneurysm after Resolution of Vasospasm: A Case Report

Shin GH, Lee JY, Lee YJ, Park DW, Kim YS, Kim HY, Yi HJ

Vasospasm after subarachnoid hemorrhage may alter intracranial hemodynamics. We report a case which showed significant size reduction of an unruptured intracranial aneurysm after resolution of vasospasm. This case may suggest...
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Optimal Guiding Catheter Length for Endovascular Coiling of Intracranial Aneurysms in Anterior Circulation in Era of Flourishing Distal Access System

Jia ZY, Lee SH, Kim YE, Choi JH, Hwang SM, Lee GY, Youn JH, Lee DH

PURPOSE: To determine the minimum required guiding catheter length for embolization of various intracranial aneurysms in anterior circulation and to analyze the effect of various patient factors on the required...
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An Unruptured Anterior Communicating Artery Aneurysm Presenting with Left Homonymous Hemianopsia: A Case Report

Kim JW, Nam TK, Park KS, Park YS, Kwon JT

Unruptured cerebral aneurysms sometimes present with visual symptomsdue to compression of the visual pathways. However, until now, unruptured anterior communicating artery (ACoA) aneurysms presenting visual field defects have been extremely...
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A Less Invasive Strategy for Ruptured Cerebral Aneurysms with Intracerebral Hematomas: Endovascular Coil Embolization Followed by Stereotactic Aspiration of Hematomas Using Urokinase

Kim SH, Kim TG, Kong MH

OBJECTIVE: Aneurysm clipping and simultaneous hematoma evacuation through open craniotomy is traditionally recommended for ruptured cerebral aneurysms accompanied by intracerebral or intrasylvian hemorrhages. We report our experience of adapting a...
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Keyhole Approach and Neuroendoscopy for Cerebral Aneurysms

Cho WS, Kim JE, Kang HS, Son YJ, Bang JS, Oh CW

Treating diseases in the field of neurosurgery has progressed concomitantly with technical advances. Here, as a surgical armamentarium for the treatment of cerebral aneurysms, the history and present status of...
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The Rupture Risk of Aneurysm in the Anterior Communicating Artery: A Single Center Study

Kim MC, Hwang SK

OBJECTIVE: The aim of this study was to evaluate the characteristics of ruptured aneurysms at anterior communicating artery (A com) with an analysis of clinical and morphological data, which could...
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Aneurysmal Subarachnoid Hemorrhage Following Intravenous Thrombolysis in Acute Ischemic Stroke

Kim HJ, Kang DW, Kwon SU, Kim JS, Jeon SB

BACKGROUND: An incidental finding of unruptured aneurysm, which is a contraindication to the recombinant tissue plasminogen activator (rtPA), is common in patients with acute ischemic strokes. However, reports describing the...
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Superficial Temporal Artery-Sparing Mini-Pterional Approach for Cerebral Aneurysm Surgery

Ahn JY, Kim ST, Yi KC, Lee WH, Paeng SH, Jeong YG

OBJECTIVE: The purposes of this study were to introduce a superficial temporal artery (STA)-sparing mini-pterional approach for the treatment of cerebral aneurysms and review the surgical results of this approach. METHODS:...
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