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The Benefits of Navienâ„¢ Intracranial Support Catheter for Endovascular Treatment

Lee S, Gong TS, Lee YW, Kim HJ, Kweon CY

OBJECTIVE: Endovascular treatment is one of the most important treatments along with open craniotomy for cerebrovascular surgery. The successful treatment of endovascular disease relies on appropriate instruments and the surgeon's...
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Onyx Embolization of Intracranial Pial Arteriovenous Fistula

Kim HM, Cho JH, Kim KH

Intracranial pial arteriovenous fistulas (AVFs) are rare cerebrovascular lesions consisting of one or more arterial connections to a single venous channel without an intervening nidus. Because of the location and...
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Endovascular Treatment of Symptomatic Vertebral Artery Dissecting Aneurysms

Han J, Lim DJ, Ha SK, Choi JI, Jin SW, Kim SH

OBJECTIVE: Vertebral artery dissecting aneurysms (VADAs) are rare and many debates are present about treatment options. We review types and efficacy of our endovascular treatments and establish a safe endovascular...
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Fusiform Superior Cerebellar Artery Aneurysm Treated with Endovascular Treatment

Jeon JB, Oh SY, Hyun DK, Shim YS

An aneurysm of the distal superior cerebellar artery (SCA) is a highly rare disease. Fusiform aneurysms of the distal SCA are particularly challenging to treat. Clipping, trapping with or without...
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Incomplete Clipping Resulting from Scissoring of the Clip Blades during Treatment of a Large Atheromatous Aneurysm

Kim JS, Lee SH, Ko HC, Shin HS, Koh JS

The cerebral aneurysm 'clip scissoring' phenomenon resulting from clip blade twisting is an unpredictable surgical complication. Additionally, incomplete clipping resulting from the presence of an atherosclerotic wall in the neck...
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Clinical Utility of Angiographic CT with a Flat-detector Angiographic System during Endovascular Procedure

Choi SW, Jo KW, Kim YW, Kim SR, Park IS, Kim H

OBJECTIVE: We evaluated the feasibility of angiographic computed tomography (ACT) for visualizing stent material in patients who underwent intracranial or extracranial stent placement to treat atherosclerotic lesions or stent assisted...
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Procedure-related Complication Rate for the Endovascular Treatment of Aneurysmal Subarachnoid Hemorrhage under Local Anesthesia

Park SD, Kim JH, Chang CH, Jung YJ

OBJECTIVE: To report the procedure related complication rate of endovascular treatments (EVTs) performed on patients with aneurysmal subarachnoid hemorrhage (aSAH) under local anesthesia (LA). MATERIALS AND METHODS: This study enrolled 186...
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Endovascular Treatment of Giant Serpentine Aneurysm of the Middle Cerebral Artery

Jeong YH, Kim JY, Koo YM, Choi JW, Whang K, Hu C, Cho SM

Giant serpentine aneurysms are uncommon types of aneurysmal disease and have angiographically authentic features. We report a case of a 44-year-old male with headache and seizure. He presented a giant...
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Results of Endovascular Coil Embolization Treatment for Small (≤ 5 mm) Unruptured Intracranial Aneurysms

Lee S, Gong TS, Lee YW, Kim HJ, Kweon CY

OBJECTIVE: Researchers and clinicians have been unable to fully elucidate the natural course of and proper treatment for unruptured intracranial aneurysms (UIAs) smaller than or equal to 5 mm, particularly...
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Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter

Jeong EO, Kwon HJ, Choi SW, Koh HS

With the recent advent of suction catheters, the use of manual aspiration thrombectomy (MAT) for patients with acute ischemic stroke with large vessel occlusion has increased. Although contrast leakage and...
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Pure Subdural Hemorrhage Caused by Internal Carotid Artery Dorsal Wall Aneurysm Rupture

Lee YW, Nam TM, Kim JS, Hong SC, Yeon JY

A 37-year-old woman was admitted to our hospital with altered mentality. The patient was diagnosed an internal carotid artery (ICA) dorsal wall aneurysm leading to acute subdural hemorrhage (SDH) without...
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Preliminary Experience with Vascular Plugs for Parent Artery Occlusion of the Carotid or Vertebral Arteries

Lee W, Shin YS, Kim KH, Kim YB, Hong CK, Chung J

OBJECTIVE: The purpose of this study was to report the authors' preliminary experience using the Amplatzer Vascular Plug (AVP) (St. Jude Medical, Plymouth, MN, USA) for parent artery occlusion of...
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Recurrent Carotid Cavernous Fistula Originating from a Giant Cerebral Aneurysm after Placement of a Covered Stent

Baek JW, Kim ST, Lee YS, Jeong YG, Jeong HW, Baek JW, Seo JH

We report the case of a recurrent carotid cavernous fistula (CCF) originating from a giant cerebral aneurysm (GCA) after placement of a covered stent. A 47-year-old woman presented with sudden...
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Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm

Han J, Lim DJ, Kim SD, Ha SK, Lee SH, Kim SH

Pure subdural hematomas caused by a ruptured intracranial aneurysm are extremely rare. We describe the case of a 42-year-old woman who presented with headache without evidence of head trauma. Magnetic...
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Traumatic Pseudoaneurysm Related to Calcified Nodules of Cerebral Convexity Dura Mater in an American College Football Player

Jeon YS, Lee JG, Chun YI, Cho J, Choe WJ

Repeated concussion is common among football players; however, these minor blunt head trauma rarely result in serious complications. We report a case of a young college football player who presented...
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Multiple Spontaneous Intracerebral Hematoma without Presenting Risk Factors

Park S, Park EK, Kim JS, Shim KW

The incidence of intracerebral hemorrhage in those aged 45–84 years is 0.3-0.5%. In people over 80 years of age, this incidence increases 25-fold compared with that of the total population....
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Emergent Double-barrel Bypass Shortly after Intravenous Administration of Recombinant Tissue Plasminogen Activator for Acute Ischemic Stroke

Choi JH, Park HS

Although intravenous recombinant tissue plasminogen activator (IV rt-PA) is effective in many cases of acute ischemic stroke, the neurologic symptoms can worsen after IV rt-PA because of sustained vessel occlusion....
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The Efficacy of Single Barrel Superficial Temporal Artery-middle Cerebral Artery Bypass in Treatment of Adult Patients with Ischemic-type Moyamoya Disease

Ha M, Choi CH, Lee JI, Cha SH, Lee SW, Ko JK

OBJECTIVE: So far, there is no study answering the question of which type of surgical technique is practically the most useful in the treatment of adult patients with ischemic type...
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Evaluation and Treatment of the Acute Cerebral Infarction with Convexal Subarachnoid Hemorrhage

Lee MH, Kim SU, Lee DH, Kim YI, Cho CB, Yang SH, Kim IS, Hong JT, Sung JH, Lee SW

Non-traumatic convexal subarachnoid hemorrhage (CSAH) is a comparatively infrequent with various vascular and nonvascular causes, it rarely occurs concomitant to acute ischemic stroke. We report a case of a 59-year-old...
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Delayed Rebleeding of Cerebral Aneurysm Misdiagnosed as Traumatic Subarachnoid Hemorrhage

Song SY, Kim DW, Park JT, Kang SD

An intracranial saccular aneurysm is uncommonly diagnosed in a patient with closed head trauma. We herein present a patient with delayed rebleeding of a cerebral aneurysm misdiagnosed as traumatic subarachnoid...
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