Abstract:
BACKGROUND:Embolization with coils is increasingly used for the treatment of intracranial aneurysms. To assess the percentage of complications, the percentage of aneurysm occlusion, and the short-term outcome, we performed a systematic review of studies on embolization with controlled detachable or pushable coils. SUMMARY OF REVIEW:To find studies on embolization with coils, we performed a MEDLINE search from January 1990 to March 1997, checked all reference lists of the studies found, performed a Science Citation Index search on Guglielmi, and hand searched recent volumes of 25 journals. Two authors independently extracted data by means of a standardized data extraction form from 48 eligible studies totalling 1383 patients. Permanent complications of embolization with controlled detachable coils occurred in 46 of 1256 patients (3.7%; 95% CI, 2.7% to 4.9%); 400 of 744 aneurysms (54%; 95% CI, 50% to 57%) were completely occluded. By means of weighted linear regression, no relation between baseline characteristics and outcome measurements was found. The results in the prespecified subgroups of patients with a ruptured aneurysm, an unruptured aneurysm, or a basilar bifurcation aneurysm were essentially the same as the overall results. CONCLUSIONS:Short-term results indicate that embolization with coils is a reasonably safe treatment for patients with an unruptured aneurysm and for patients with aneurysmal subarachnoid hemorrhage. The effectiveness in terms of complete occlusion of the aneurysm is moderate. Randomized trials are warranted to compare surgical clipping with embolization with coils.
journal_name
Strokejournal_title
Strokeauthors
Brilstra EH,Rinkel GJ,van der Graaf Y,van Rooij WJ,Algra Adoi
10.1161/01.str.30.2.470subject
Has Abstractpub_date
1999-02-01 00:00:00pages
470-6issue
2eissn
0039-2499issn
1524-4628journal_volume
30pub_type
杂志文章,评审相关文献
STROKE文献大全abstract::True, three-dimensional proton nuclear magnetic resonance imaging at 0.147 tesla was performed postmortem on 2 patients embodying various stroke syndromes, including chronic (4 and 15 years) infarction, subacute (within 1 week) bland infarction, acute (2 days) hemorrhagic infarction, and hematoma secondary to ruptured...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.18.2.342
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Sonothrombolysis is a new treatment approach in acute ischemic stroke. The results of a monocenter, randomized clinical study are presented. METHODS:Subjects with acute middle cerebral artery main stem occlusion were randomized into a target group receiving 1-hour transcranial continuous insonat...
journal_title:Stroke
pub_type: 杂志文章,随机对照试验
doi:10.1161/STROKEAHA.107.503870
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We compared two-dimensional time-of-flight magnetic resonance angiography (MRA) and duplex ultrasonography with arteriography for the detection of 70% to 99% stenoses at the carotid artery bifurcation (ie, surgical disease according to findings of the North American Carotid Endarterectomy Trial)....
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.25.1.4
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This study was designed to investigate the correlation between reflex sympathetic dystrophy syndrome (RSDS) in hemiplegic patients and spontaneous electromyographic (EMG) activity, as well as to determine the predictive value of spontaneous EMG activity in early diagnosis of RSDS. METHODS:An EMG...
journal_title:Stroke
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Declining trends in the incidence and mortality of stroke have been observed in Finland since the beginning of the 1980s until 1997. In this study we analyzed the trends in fatal and nonfatal strokes in Finland during 1991-2002. METHODS:The Finnish Hospital Discharge Register was linked to the N...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000152945.28543.4a
更新日期:2005-02-01 00:00:00
abstract::Patients with symptoms of cerebral ischemia are often evaluated with non-invasive carotid artery testing. An abnormal carotid Doppler ultrasound frequency shift pattern of early systolic flutter (ESF) was demonstrated by auscultation and velocity wave form analysis in patients with normal carotid bifurcations. Ten of ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.16.6.977
更新日期:1985-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The aim of this study was to validate the diagnosis of self-reported stroke. METHODS:During 1994-1995, 27 159 people attended a population health survey in the community of Tromso, Norway, a response rate of 77%. A total of 418 attenders reported a history of stroke. In 1997, all individuals wit...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.31.7.1602
更新日期:2000-07-01 00:00:00
abstract::We investigated the prevalence of carotid atherosclerosis, including mild early lesions, and its association with cervical bruits and various risk factors (age, male sex, hypertension, hyperlipidemia, diabetes mellitus, obesity, and cigarette smoking) in 232 consecutive Japanese patients. High-resolution real-time B-m...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.21.11.1567
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To investigate whether neuroimaging information has added predictive value compared with clinical information for independency in activities of daily living (ADL) 1 year after stroke. METHODS:Seventy-five first-ever middle cerebral artery stroke survivors were evaluated in logistic regression an...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000206462.09410.6f
更新日期:2006-04-01 00:00:00
abstract::Three leukotrienes (LTB4, C4, D4) were locally applied to cerebral arterioles in doses varying from 3 X 10(-8) to 4 X 10(-7) M and each produced a dose related constriction. LTC was tested in the presence and absence of FPL-55712, a relatively specific inhibitor of leukotriene receptors. A low dose (10(-8) M) of FPL-5...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.16.2.262
更新日期:1985-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The absence of a widely available and sensitive diagnostic test for acute cerebral ischemia remains a significant limitation in the diagnosis and management of stroke. The objective of this study was to examine the feasibility of developing a diagnostic panel of blood-borne biochemical markers of...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000105927.62344.4C
更新日期:2004-01-01 00:00:00
abstract::Background and Purpose- Cerebral small vessel disease (SVD) is a major cause of stroke and dementia, but underlying disease mechanisms are still largely unknown, partly because of the difficulty in assessing small vessel function in vivo. We developed a method to measure blood flow velocity pulsatility in perforating ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.118.022516
更新日期:2018-12-11 00:00:00
abstract:BACKGROUND AND PURPOSE:Telomerase reverse transcriptase (TERT) is tightly related to the resistance of cells to stress and injury. However, little is known about the roles of TERT in the nervous system. We try to investigate the effects of TERT on the function of astrocytes in developing rat brains subjected to hypoxia...
journal_title:Stroke
pub_type: 杂志文章,收录出版
doi:10.1161/STROKEAHA.111.626325
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although family studies have suggested a genetic influence on hemorrhagic stroke, the underlying genetic risk factors remain poorly defined. Coagulation factor XIII, which is involved in hemostasis, fibrinolysis, vascular remodeling, and tissue repair, represents a candidate gene for hemorrhagic ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/hs1101.098150
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Microanatomy studies reveal that most penetrating branches of middle cerebral artery (MCA) arise from the dorsal-superior surface of the trunk. Using high-resolution MRI, we sought to explore the plaque distribution of MCA atherosclerosis and its clinical relevance in relation to the orifices of ...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.111.618132
更新日期:2011-10-01 00:00:00
abstract::Functional assessment of animals following experimental cerebral ischemia is often difficult due to the passive nature of many neurologic exams. We attempted to increase the objectivity of motor function evaluation by adapting quantifiable behavioral tests and actively testing rats' motor capability following a cerebr...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.18.2.503
更新日期:1987-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Accumulation of iron after intracerebral hemorrhage causes free radical formation and oxidative damage resulting in liquefaction. The aim of this study was the investigation of molecular mechanisms underlying estrogen-mediated neuroprotective effect against iron-induced brain injury in vivo. MET...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.109.562850
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The aim of this study is to report on the use of transcranial Doppler ultrasonography as a noninvasive diagnostic monitoring tool during local intra-arterial thrombolysis in a patient with acute embolic occlusion of the middle cerebral artery. CASE DESCRIPTION:We describe a 41-year-old woman wit...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.23.2.284
更新日期:1992-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Quantitative data on sensory impairment in stroke patients are limited. We measured the perception thresholds for temperature and thermal pain in patients with different lacunar syndromes, correlated the results with clinical and magnetic resonance imaging (MRI) findings, and studied the long-ter...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.25.11.2165
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary arteriopathy, which mainly involves the brain causing stroke and dementia. Mice expressing the mutated protein display early dysfunction in vasoreactivity in resistance arteries, b...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.107.490029
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of bare metal stents to treat symptomatic intracranial stenosis may be associated with significant restenosis rates. The advent of drug-eluting stents (DESs) in the coronary circulation has resulted in a reduction of restenosis rates. We report our technical success rate and short-term re...
journal_title:Stroke
pub_type: 杂志文章,多中心研究
doi:10.1161/01.STR.0000242481.38262.7b
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Aphasia can result in an inability to communicate the presence, location, or intensity of pain. Although visual analogue scales (VASs) exist, it is unknown whether they are useful in assessing pain in individuals with aphasia. The objective was to determine whether those with poststroke aphasia c...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.STR.0000198872.75377.34
更新日期:2006-02-01 00:00:00
abstract::To elucidate the connection between blood flow and the localized genesis and development of atherosclerosis and thrombosis at the human carotid artery bifurcation, detailed studies of the flow patterns and distributions of fluid velocity and wall shear rate in this region were carried out using a transparent segment o...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.15.1.50
更新日期:1984-01-01 00:00:00
abstract::Background and Purpose- We aimed to define the neuroimaging determinants of poststroke cognitive performance and their relative contributions among a spectrum of magnetic resonance imaging markers, including lesion burden and strategic locations. Methods- We prospectively included patients with stroke from the GRECogV...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.118.021981
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The purpose of this study was to assess individual differences in the pharmacological effects of acetylsalicylic acid (ASA) on bleeding time as measured by in vitro platelet aggregation and to examine the consistency of responses over time. METHODS:We measured template IIR bleeding time and plat...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.31.3.591
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This study was designed to assess the quality of life after an active poststroke period of rehabilitation and to investigate the possibility of a return to a working environment for those still of working age. METHODS:The study was conducted on 180 consecutive patients affected by stroke who wer...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.24.10.1478
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Gender differences in carotid endarterectomy (CEA) rates after transient ischemic attack are not well studied, although some reports suggest that eligible men are more likely to have CEA than women after stroke. METHODS:We retrospectively identified all patients diagnosed with transient ischemic...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/STROKEAHA.110.580977
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The efficacy and safety of different antiplatelet regimes for prevention of stroke in patients at high risk were investigated in a systematic review and meta-analysis. METHODS:We searched the Cochrane Central Register of Controlled Trials, MEDLINE, and Web of Science. Twenty-two studies comprisi...
journal_title:Stroke
pub_type: 杂志文章,meta分析,评审
doi:10.1161/STROKEAHA.113.002590
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We postulated that some abnormalities in cerebrovascular function after subarachnoid hemorrhage (SAH) may involve underlying alterations in K(+) channel function. Thus, using pharmacological inhibitors, we assessed the influence of SAH on function of 2 types of K(+) channel in regulation of basil...
journal_title:Stroke
pub_type: 杂志文章
doi:10.1161/01.str.31.10.2460
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Randomized clinical trials testing aspirin in relatively low-risk, middle-aged people have consistently shown small increases in stroke associated with aspirin use. We analyzed the relationship between the regular use of aspirin and incident ischemic and hemorrhagic stroke among people aged 65 ye...
journal_title:Stroke
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1161/01.str.29.5.887
更新日期:1998-05-01 00:00:00