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Optimizing the Volume of the Initial Framing Coil to Facilitate Tight Packing of Intracranial Aneurysms
https://doi.org/10.24517/00026937
https://doi.org/10.24517/00026937debfbdc8-5f32-47fd-ba3c-a74325369d1d
名前 / ファイル | ライセンス | アクション |
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HO-PR-MISAKI-K-397.pdf (443.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | Optimizing the Volume of the Initial Framing Coil to Facilitate Tight Packing of Intracranial Aneurysms | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
ID登録 | ||||||
ID登録 | 10.24517/00026937 | |||||
ID登録タイプ | JaLC | |||||
著者 |
Misaki, Kouichi
× Misaki, Kouichi× Uchiyama, Naoyuki× Nambu, Iku× Aida, Yasuhiro× Kamide, Tomoya× Mohri, Masanao× Ueda, Fumiaki× Nakada, Mitsutoshi |
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著者別表示 |
見崎, 孝一
× 見崎, 孝一× 内山, 尚之× 南部, 育× 会田, 泰裕× 上出, 智也× 毛利, 正直× 植田, 文明× 中田, 光俊 |
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書誌情報 |
World Neurosurgery 巻 90, p. 397-402, 発行日 2016-06-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1878-8750 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA12469471 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.wneu.2016.03.027 | |||||
出版者 | ||||||
出版者 | Elsevier | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: During endovascular treatment of an aneurysm, the importance of the initial coil volume for facilitating tight packing is unclear. We retrospectively studied the relationships between initial packing density (PD; initial coil volume divided by aneurysm volume), final PD (volume of all coils divided by aneurysm volume). Methods: We reviewed 105 aneurysms in 98 patients who underwent endovascular coiling between April 2011 and March 2014. The initial coil was defined as the first coil in the single-catheter method and the first 2 coils in the double-catheter method. The patient data were divided into groups with or without a final PD ≥20%, and the significant predictors of a final PD ≥20% were determined using multivariable logistic regression. The optimal cutoff value for the initial PD was determined using a receiver operating characteristic curve. Results: Of 105 aneurysms, 56 and 49 were treated with single- and double-catheter methods, respectively. Statistically significant differences in rupture status, neck size, dome/neck ratio, and initial PD were observed between aneurysms with and without a final PD ≥20% (all P < 0.05). Multivariate analysis showed that initial PD (P = 0.025; odds ratio, 1.22) and rupture status (P = 0.002; odds ratio, 0.19) were significantly associated with a final PD ≥20%. Using receiver operating characteristic curve analysis, the cutoff points of initial PD to achieve a final PD ≥20% were 8.0% and 10.0% in single- and double-catheter groups, respectively. Conclusions: Initial PD appears to be a critical factor for achieving tight packing. © 2016 Elsevier Inc. All rights reserved. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Embargo Period 12 months | |||||
権利 | ||||||
権利情報 | Copyright © Elsevier 2016 (CC-BY NC ND) | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.elsevier.com/locate/issn/18788750 |