Kuok Cheong U's Page

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Kuok Cheong U commented on Kuok Cheong U's blog post MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!
"Yes, your are right, although I have planned to use only one stent (Boston Scientific Neuroform3, 3mmx2cm) for complete embolization of the lobar shape aneurysm, however, I have over estimated the size of the aneurysm or because the aneurysm is…"
Jul 24, 2010
Tamrakar Karuna commented on Kuok Cheong U's blog post MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!
"Is it like....... one stent you applied before coil deployment and the second stent application was at the end or right after you'd noticed coil prolapse in M1 segment? Can you write about the stents you used in this case?"
Jul 24, 2010
Kuok Cheong U commented on Kuok Cheong U's blog post MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!
"Dear Karam, Both M1, M2 and M3 segments are patently noted without lumen compromise, the patient is now on plavix 75mg/day and aspirin 100mg/day and I'll followup the patient 3 months later. So far, his is doing fine."
Jul 7, 2010
Karam Chand Sharma commented on Kuok Cheong U's blog post MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!
"Dear Kuok, Very good job. Is there any compromise of lumen of one of MCA branches? Most of MCA aneurysms arising from MCA can be clipped but case as this needs an expert like you. Show us pictures routinely.Congratulations.!"
Jul 6, 2010
Kuok Cheong U posted a blog post

MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!

This 47 year old man has been treated with stent assist GDC embolization, the plan was to use one stent to protect M2 and M3, but end-up, two stent in coaxis manner applied. The patient has been discharged from ICU with GCS=15. The reason to use two metallic stent in co-axis manner was one of the loop of the coil prolapsed to the parent artery (M1) during the procedure. Complete embolization of the lobar aneurysm acquired eventually. Here is the case.See More
Jul 5, 2010
Siba Dalai replied to Kuok Cheong U's discussion MCA lobar shape wide neck aneurysm involving M1, M2 and M3, case followup!! in the group Vascular Neurosurgery
"Terrific !! Nice One."
Jul 4, 2010
Kuok Cheong U added a discussion to the group Vascular Neurosurgery
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MCA lobar shape wide neck aneurysm involving M1, M2 and M3, case followup!!

This 47 year old man has been treated with stent assist GDC embolization, the plan was to use one stent to protect M2 and M3, but end-up, two stent in coaxis manner applied. The patient has been discharged from ICU with GCS=15. The reason to use two metallic stent in co-axis manner was one of the loop of the coil prolapsed to the parent artery (M1) during the procedure. Complete embolization of the lobar aneurysm acquired eventually. Here is the case.See More
Jul 3, 2010
Karam Chand Sharma commented on Kuok Cheong U's blog post MCA wide neck lobar shape berry aneurysm, involving M1,M2,M3, how to treat?
"Dear Kuok, Neurosurgeons are comfortable because of neuro-interventionist. By doing coiling and embolisation great no of patients have benefitted. Surgery is afterall a major procedure and still carries mortality and morbidity. By the look of…"
Jun 23, 2010
Kuok Cheong U commented on Kuok Cheong U's blog post MCA wide neck lobar shape berry aneurysm, involving M1,M2,M3, how to treat?
"Dear Karam, You are right, I don't think microanastomsis work, so I planned to treat this case with endovascular method, stent assist GDC technique, what do you think? Best regards, Kuok"
Jun 23, 2010
Kuok Cheong U commented on Karam Chand Sharma's blog post No hope
"Dear Karam, Would it be small cell carioma? If it is, may be chemotheray may helps. best regards Kuok"
Jun 21, 2010
Kuok Cheong U added a discussion to the group Vascular Neurosurgery
Jun 20, 2010
Kuok Cheong U replied to Kuok Cheong U's discussion MCA lobar shape wide neck aneurysm, involving M1,M2, M3, How to treat? in the group Vascular Neurosurgery
"Hi Dalai, I cannot upload the image in this reply, I'll try to post in another discussion for share best regards Kuok"
Jun 20, 2010
Siba Dalai replied to Kuok Cheong U's discussion MCA lobar shape wide neck aneurysm, involving M1,M2, M3, How to treat? in the group Vascular Neurosurgery
"Hello Kuko I cant see the treatment plan. Can u post it again. R Dalai"
Jun 20, 2010
Karam Chand Sharma commented on Kuok Cheong U's blog post MCA wide neck lobar shape berry aneurysm, involving M1,M2,M3, how to treat?
"Dear Kuok, You have put up nice images again. One of the method desribed by L.Shekhar could be relocating branches of MCA on M1 but that involves lot of experience in microanastamosis. I did a STA-MCA anastamosis few days back and I know how hard is…"
Jun 20, 2010
Kuok Cheong U posted blog posts
Jun 19, 2010
Kuok Cheong U added a discussion to the group Vascular Neurosurgery
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MCA lobar shape wide neck aneurysm, involving M1,M2, M3, How to treat?

47 years old man, spontaneous intracranial hemorrhage underwent unsuccessful open surgery for clipping right MCA aneurysm, closed and re-bleeding again, transferred to our hospital for further management.Diagnostic angiography performed subsequently, found a lobar shape wide neck aneurysm noted in the right MCA involving spenoidal segment, insular segment and opercular segment namely M1, M2 and M3. 3D image acquired and showed as follow: I'm planning to treat this patient with stent assist…See More
Jun 19, 2010

Profile Information

Main areas of research:
neuroradiology, neurovascular intervention
Interests/keywords:
acute stroke management, pipeline, GDC, stent assis procedure
Current title/position:
Consultant Radiologist, Department head of Radiology
Visiting professor of Radiology, Jinan University, China
Current affiliation/employer:
Macao Government, Central Hospital
Collaborators:
Jinan University

Kuok Cheong U's Blog

MCA lobar shape wide neck aneurysm, involving M1, M2 and M3, case follow up!!

Posted on July 3, 2010 at 11:41am 4 Comments

This 47 year old man has been treated with stent assist GDC embolization, the plan was to use one stent to protect M2 and M3, but end-up, two stent in coaxis manner applied. The patient has been discharged from ICU with GCS=15. The reason to use two metallic stent in co-axis manner was one of the loop of the coil prolapsed to the parent artery (M1) during the procedure. Complete embolization of the lobar aneurysm acquired eventually. Here is the case.…

Continue

MCA wide neck lobar shape berry aneurysm, involving M1,M2,M3, how to treat?

Posted on June 19, 2010 at 10:30am 3 Comments

47 years old man, spontaneous intracranial hemorrhage underwent unsuccessful open surgery for clipping right MCA aneurysm, closed and re-bleeding again, transferred to our hospital for further management.

Diagnostic angiography performed subsequently, found a lobar shape wide neck aneurysm noted in the right MCA involving spenoidal segment, insular segment and opercular segment namely M1, M2 and M3.

3D image acquired and showed as follow:…

Continue

Fusiform aneyrysm in vertebral-basilar region

Posted on May 29, 2010 at 11:00pm 3 Comments

se000.avi

A 54 year old man presents in ER early this week, urgent CT shows considerable… Continue

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