Article
Radiology, Nuclear Medicine & Medical Imaging
Dae Chul Suh, Yun Hyeok Choi, Sang Ik Park, Suyoung Yun, So Yeong Jeong, Soo Jeong, Boseong Kwon, Yunsun Song
Summary: This study found no difference in outcomes and adverse events between outpatient day-care management and management with longer admission periods for unruptured intracranial aneurysm (UIA).
KOREAN JOURNAL OF RADIOLOGY
(2022)
Article
Clinical Neurology
Minyoul Baik, Jimin Jeon, Seok-jae Heo, Joonsang Yoo, Jinkwon Kim
Summary: In patients with unruptured intracranial aneurysm (UIA) treated with stent-assisted coil (SAC), three months of dual-antiplatelet therapy (DAPT) is associated with a decreased risk of ischemic and hemorrhagic complications.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Clinical Neurology
Zihan Yin, Qihang Zhang, Yahui Zhao, Junlin Lu, Peicong Ge, Hutao Xie, Delong Wu, Shaochen Yu, Shuai Kang, Qian Zhang, Yan Zhang, Dong Zhang, Jizong Zhao, Xingju Liu
Summary: This study aimed to determine the prevalence of ICAS in patients with UIAs and assess the procedural ischemic risk associated with ICAS. The results showed that patients with ICAS had a significantly increased risk of procedure-related ischemic stroke, while previous use of antiplatelet therapy may decrease this risk.
Article
Neuroimaging
Aditya Srivatsan, Alina Mohanty, Yasir Saleem, Visish M. Srinivasan, Kathryn Wagner, Jill Seeley, Jan-Karl Burkhardt, Stephen R. Chen, Jeremiah N. Johnnson, Peter Kan
Summary: This study investigated the effects of endovascular coiling on cognition in patients with unruptured intracranial aneurysms (UIAs) using the Montreal Cognitive Assessment (MoCA). The findings suggest that there were no significant changes in cognition before and after the procedure. Additionally, the majority of patients achieved favorable angiographic outcomes at 6-month follow-up.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2021)
Article
Clinical Neurology
Eiji Higashi, Taketo Hatano, Mitsushige Ando, Hideo Chihara, Takenori Ogura, Keita Suzuki, Keitaro Yamagami, Daisuke Kondo, Takahiko Kamata, Shota Sakai, Hiroki Sakamoto, Izumi Nagata
Summary: In patients undergoing endovascular treatment for unruptured intracranial aneurysms, 37.6% showed increased CMBs postoperatively. Chronic kidney disease, higher preprocedural CMBs, and a greater number of diffusion-weighted imaging-positive lesions on the first postprocedural day were identified as independent risk factors for CMB increase.
Article
Radiology, Nuclear Medicine & Medical Imaging
Chubin Ou, Winston Chong, Chuan-Zhi Duan, Xin Zhang, Michael Morgan, Yi Qian
Summary: Radiomics features, especially texture features, differ between ruptured and unruptured aneurysms. The use of radiomics features in predicting rupture may significantly improve prediction performance.
EUROPEAN RADIOLOGY
(2021)
Article
Clinical Neurology
Tomohiko Ozaki, Toshiyuki Fujinaka, Tomoki Kidani, Keisuke Nishimoto, Hiroki Yamazaki, Haruna Sawada, Kowashi Taki, Yonehiro Kanemura, Shin Nakajima
Summary: This study reports the experience of using stent-assisted coil embolization for unruptured cerebral aneurysms in small arteries with diameter less than 2 mm. The majority of aneurysms in the small vessel group achieved complete occlusion, but there were also some complications, particularly in patients with middle cerebral artery aneurysms.
Article
Clinical Neurology
Eung Koo Yeon, Young Dae Cho, Dong Hyun Yoo, Jeong Eun Kim, Kang Min Kim, Sung Ho Lee, Won-Sang Cho, Hyun-Seung Kang
Summary: Midterm outcomes of stent-assisted coil embolization with LVIS and Atlas devices were similar, despite the theory of LVIS superiority. Further randomized comparative studies are needed to confirm these findings.
Article
Clinical Neurology
Hyun Sik Kim, Young Dae Cho, Dong Hyun Yoo, Noah Hong, Chang Hwan Pang, Kang Min Kim, Sung Ho Lee, Won-Sang Cho, Hyun-Seung Kang, Jeong Eun Kim, Moon Hee Han
Summary: This study evaluated the technical aspects and procedural outcomes of coil embolization in 36 patients with 72 kissing aneurysms. The results indicated that properly conducted single-stage coil embolization is a safe and effective method for treating such lesions.
WORLD NEUROSURGERY
(2021)
Article
Neuroimaging
Laurent Pierot, Coralie Barbe, Denis Herbreteau, Jean-Yves Gauvrit, Anne-Christine Januel, Fouzi Bala, Frederic Ricolfi, Hubert Desal, Stephane Velasco, Mohamed Aggour, Emmanuel Chabert, Jacques Sedat, Denis Trystram, Gaultier Marnat, Sophie Gallas, Georges Rodesch, Frederic Clarencon, Chrysanthi Papagiannaki, Phil White, Laurent Spelle
Summary: In this study, delayed thromboembolic events (TEEs) in patients with unruptured intracranial aneurysms (UIAs) after coiling were analyzed. The study found that two factors, ADPKD and post-procedure aneurysm remnant, were associated with delayed TEEs. The rate of delayed TEEs in UIA patients was relatively low, occurring within a week after the initial procedure.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2021)
Review
Medicine, General & Internal
Jia-Lin Xia, Guang-Lei Li, Hong-En Liu, Xia Feng-Fei, Xin-Dong Gu
Summary: For the treatment of unruptured intracranial aneurysms (IAs), flow-diverting devices (FDDs) show a relatively higher complete occlusion rate, especially in patients with large or giant IAs. However, for patients with non-large/giant IAs, there is no significant difference in treatment effects between FDD and coil embolization (CE). The retreatment and complication rates are similar between the two treatment methods, but CE treatment has a higher rate of parent artery patency.
Article
Clinical Neurology
Dongwhane Lee, Deok Hee Lee, Jung Cheol Park, Jae Ho Shin, Yunsun Song, Jaewoo Chung, Jae Jon Sheen, Dae Chul Suh
Summary: This study retrospectively analyzed 26 patients treated with coil embolization for UIA using tirofiban, finding that thrombosis mainly occurs intraoperatively or within the first day after the procedure. The use of tirofiban can lead to a better prognosis for patients even if infarction progresses.
CLINICAL NEURORADIOLOGY
(2021)
Article
Clinical Neurology
Kathryn Wagner, Aditya Srivatsan, Alina Mohanty, Visish M. Srinivasan, Yasir Saleem, Jacob Cherian, Robert F. James, Stephen Chen, Jan-Karl Burkhardt, Jeremiah Johnson, Peter Kan
Summary: This study aimed to investigate the neurocognitive performance of patients with unruptured intracranial aneurysms before and after treatment with flow diversion. The results suggest that this treatment may not significantly alter cognitive function, as there were no differences in MoCA scores at baseline, 1 month postprocedure, and 6 months postprocedure.
JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Ahmed Kashkoush, Mohamed E. El-Abtah, Shaarada Srivatsa, Ansh Desai, Mark Davison, Rebecca Achey, Ashutosh Mahapatra, Thomas Patterson, Nina Moore, Mark Bain
Summary: This study aims to compare the effects of Woven EndoBridge (WEB) and stent-assisted coiling (SAC) on wide-neck bifurcation intracranial aneurysms (WNBAs). The mid-term complete and adequate occlusion rates were similar between the two groups, suggesting equipoise in treatment options for WNBAs.
JOURNAL OF NEUROSURGERY
(2023)
Article
Clinical Neurology
Kazuhiro Ando, Hitoshi Hasegawa, Tomoaki Suzuki, Shoji Saito, Kohei Shibuya, Haruhiko Takahashi, Makoto Oishi, Yukihiko Fujii
Summary: This study retrospectively analyzed patients with unruptured intracranial aneurysms after coil embolization and found a low occurrence of delayed bleeding, mainly within the first five years post-operation. Particularly, careful follow-up is essential for aneurysms in the posterior circulation.
WORLD NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Hyun Hee Lee, Hyun-Mi Kim, Ji Eun Lee, Young-Tae Jeon, Sanghon Park, Kihwan Hwang, Jung Ho Han
JOURNAL OF CLINICAL MEDICINE
(2020)
Article
Public, Environmental & Occupational Health
Hye Chong Hong, Hyeonkyeong Lee, Suk Jeong Lee, Chang Park, Mikyung Lee
Summary: The COVID-19 pandemic has had devastating effects on health, society, economy, and politics, with long-lasting impacts. Public health efforts to reduce the spread of COVID-19 are a global priority. Public health and social measures have been shown to be effective in reducing COVID-19 transmission, but there is insufficient evidence on compliance with these measures in the general population, including Korea.
JMIR PUBLIC HEALTH AND SURVEILLANCE
(2023)
Article
Nursing
Youn-Jung Son, Suk Jeong Lee, Sun-Hee Kim
Summary: This study aimed to investigate patient activation and its association with self-care behaviors in older people with heart failure. The results showed that highly activated patients had higher levels of health literacy, disease knowledge, and self-care behaviors. After adjusting for confounding factors, patient activation was found to be the only statistically significant predictor of self-care behaviors among older people with heart failure. Healthcare professionals should conduct a comprehensive needs assessment including health literacy and disease knowledge to help patients take active roles in their self-care.
Article
Nursing
Ji Eun Lee, In Ok Sim