{"id":"https://openalex.org/W7162492447","doi":"https://doi.org/10.5469/neuroint.2026.00157","title":"Multiple Overlapping Low-Profile Visualized Intraluminal Support Stents for Large Extracranial Carotid Artery Aneurysms: A Case Series","display_name":"Multiple Overlapping Low-Profile Visualized Intraluminal Support Stents for Large Extracranial Carotid Artery Aneurysms: A Case Series","publication_year":2026,"publication_date":"2026-05-27","ids":{"openalex":"https://openalex.org/W7162492447","doi":"https://doi.org/10.5469/neuroint.2026.00157","pmid":"https://pubmed.ncbi.nlm.nih.gov/42199042"},"language":"en","primary_location":{"id":"doi:10.5469/neuroint.2026.00157","doi":"https://doi.org/10.5469/neuroint.2026.00157","is_oa":true,"landing_page_url":"https://doi.org/10.5469/neuroint.2026.00157","pdf_url":"https://neurointervention.org/upload/pdf/neuroint-2026-00157.pdf","source":{"id":"https://openalex.org/S4210209822","display_name":"Neurointervention","issn_l":"1975-5643","issn":["1975-5643","2093-9043","2233-6273"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurointervention","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://neurointervention.org/upload/pdf/neuroint-2026-00157.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086326429","display_name":"Mohamed Adel Deniwar","orcid":"https://orcid.org/0000-0002-6337-4072","observed_orcids":["https://orcid.org/0000-0002-6337-4072"]},"institutions":[{"id":"https://openalex.org/I159247623","display_name":"Mansoura University","ror":"https://ror.org/01k8vtd75","country_code":"EG","type":"education","lineage":["https://openalex.org/I159247623"]},{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]}],"countries":["EG","KR"],"is_corresponding":false,"raw_author_name":"Mohamed Adel Deniwar","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt","Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0002-6337-4072","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt","institution_ids":["https://openalex.org/I159247623"]},{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137107538","display_name":"Dawon Yoo","orcid":"https://orcid.org/0009-0002-7162-8228","observed_orcids":["https://orcid.org/0009-0002-7162-8228"]},"institutions":[{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Dawon Yoo","raw_affiliation_strings":["Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0009-0002-7162-8228","affiliations":[{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028239798","display_name":"Ali Abdullah Kamli","orcid":"https://orcid.org/0009-0004-1004-7002","observed_orcids":["https://orcid.org/0009-0004-1004-7002"]},"institutions":[{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]},{"id":"https://openalex.org/I4210152863","display_name":"King Fahad Central Hospital","ror":"https://ror.org/04y2gp806","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210152863"]}],"countries":["KR","SA"],"is_corresponding":false,"raw_author_name":"Ali Abdullah Kamli","raw_affiliation_strings":["Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","Department of Radiology, King Fahad Central Hospital, Jazan, Saudi Arabia"],"raw_orcid":"https://orcid.org/0009-0004-1004-7002","affiliations":[{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]},{"raw_affiliation_string":"Department of Radiology, King Fahad Central Hospital, Jazan, Saudi Arabia","institution_ids":["https://openalex.org/I4210152863"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022078120","display_name":"Boseong Kwon","orcid":"https://orcid.org/0000-0002-6113-9730","observed_orcids":["https://orcid.org/0000-0002-6113-9730"]},"institutions":[{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Boseong Kwon","raw_affiliation_strings":["Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0002-6113-9730","affiliations":[{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027042894","display_name":"Yunsun Song","orcid":"https://orcid.org/0000-0003-4738-0533","observed_orcids":["https://orcid.org/0000-0003-4738-0533"]},"institutions":[{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Yunsun Song","raw_affiliation_strings":["Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0003-4738-0533","affiliations":[{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070002909","display_name":"Deok Hee Lee","orcid":"https://orcid.org/0000-0003-0355-0449","observed_orcids":["https://orcid.org/0000-0003-0355-0449"]},"institutions":[{"id":"https://openalex.org/I2801680663","display_name":"Asan Medical Center","ror":"https://ror.org/03s5q0090","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I2801680663","https://openalex.org/I4210167194"]},{"id":"https://openalex.org/I40542001","display_name":"University of Ulsan","ror":"https://ror.org/02c2f8975","country_code":"KR","type":"education","lineage":["https://openalex.org/I40542001"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Deok Hee Lee","raw_affiliation_strings":["Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0003-0355-0449","affiliations":[{"raw_affiliation_string":"Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I2801680663","https://openalex.org/I40542001"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.39425686,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"21","issue":"2","first_page":"122","last_page":"129"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.0340999998152256,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extracranial-carotid-artery-aneurysm","display_name":"extracranial carotid artery aneurysm","score":0.9599999785423279},{"id":"https://openalex.org/keywords/lvis-stent","display_name":"LVIS stent","score":0.7609999775886536},{"id":"https://openalex.org/keywords/parent-artery-reconstruction","display_name":"parent artery reconstruction","score":0.9269999861717224},{"id":"https://openalex.org/keywords/flow-diversion","display_name":"flow diversion","score":0.4490000009536743},{"id":"https://openalex.org/keywords/staged-treatment","display_name":"staged treatment","score":0.4390000104904175},{"id":"https://openalex.org/keywords/adjunctive-procedures","display_name":"adjunctive procedures","score":0.5770000219345093},{"id":"https://openalex.org/keywords/balloon-angioplasty","display_name":"balloon angioplasty","score":0.7620000243186951},{"id":"https://openalex.org/keywords/stent-graft","display_name":"covered stent","score":0.8880000114440918},{"id":"https://openalex.org/keywords/coil-embolization","display_name":"coil embolization","score":0.9789999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9229000210762024},{"id":"https://openalex.org/C2777793317","wikidata":"https://www.wikidata.org/wiki/Q23807997","display_name":"Flow diverter","level":3,"score":0.6488999724388123},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.6029999852180481},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.5126000046730042},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39899998903274536},{"id":"https://openalex.org/C111335779","wikidata":"https://www.wikidata.org/wiki/Q3454686","display_name":"Reduction (mathematics)","level":2,"score":0.38510000705718994},{"id":"https://openalex.org/C139059822","wikidata":"https://www.wikidata.org/wiki/Q183951","display_name":"Balloon","level":2,"score":0.38449999690055847},{"id":"https://openalex.org/C2780226545","wikidata":"https://www.wikidata.org/wiki/Q6888030","display_name":"Modality (human\u2013computer interaction)","level":2,"score":0.37610000371932983},{"id":"https://openalex.org/C2987047532","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Carotid arteries","level":2,"score":0.35530000925064087},{"id":"https://openalex.org/C2778333808","wikidata":"https://www.wikidata.org/wiki/Q515848","display_name":"Internal carotid artery","level":2,"score":0.3269999921321869},{"id":"https://openalex.org/C116558999","wikidata":"https://www.wikidata.org/wiki/Q4131496","display_name":"Reconstructive surgery","level":2,"score":0.31790000200271606},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.3111000061035156},{"id":"https://openalex.org/C3018386432","wikidata":"https://www.wikidata.org/wiki/Q426449","display_name":"Endovascular treatment","level":3,"score":0.2750999927520752},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.2653000056743622},{"id":"https://openalex.org/C2994186761","wikidata":"https://www.wikidata.org/wiki/Q221275","display_name":"Primary treatment","level":2,"score":0.2596000134944916},{"id":"https://openalex.org/C3020606620","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Treatment modality","level":2,"score":0.2540000081062317}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.5469/neuroint.2026.00157","doi":"https://doi.org/10.5469/neuroint.2026.00157","is_oa":true,"landing_page_url":"https://doi.org/10.5469/neuroint.2026.00157","pdf_url":"https://neurointervention.org/upload/pdf/neuroint-2026-00157.pdf","source":{"id":"https://openalex.org/S4210209822","display_name":"Neurointervention","issn_l":"1975-5643","issn":["1975-5643","2093-9043","2233-6273"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurointervention","raw_type":"journal-article"},{"id":"pmid:42199042","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42199042","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurointervention","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13311856","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42199042/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Neurointervention","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.5469/neuroint.2026.00157","doi":"https://doi.org/10.5469/neuroint.2026.00157","is_oa":true,"landing_page_url":"https://doi.org/10.5469/neuroint.2026.00157","pdf_url":"https://neurointervention.org/upload/pdf/neuroint-2026-00157.pdf","source":{"id":"https://openalex.org/S4210209822","display_name":"Neurointervention","issn_l":"1975-5643","issn":["1975-5643","2093-9043","2233-6273"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","ki-jl-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurointervention","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.7103750109672546,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[{"id":"https://openalex.org/G3812690899","display_name":null,"funder_award_id":"RS-2023","funder_id":"https://openalex.org/F4320328359","funder_display_name":"Ministry of Science and ICT, South Korea"},{"id":"https://openalex.org/G419154355","display_name":null,"funder_award_id":"RS-2023-00280269","funder_id":"https://openalex.org/F4320322120","funder_display_name":"National Research Foundation of Korea"}],"funders":[{"id":"https://openalex.org/F4320320671","display_name":"National Research Foundation","ror":"https://ror.org/05s0g1g46"},{"id":"https://openalex.org/F4320322120","display_name":"National Research Foundation of Korea","ror":"https://ror.org/013aysd81"},{"id":"https://openalex.org/F4320328359","display_name":"Ministry of Science and ICT, South Korea","ror":"https://ror.org/01wpjm123"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7162492447.pdf","grobid_xml":"https://content.openalex.org/works/W7162492447.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Extracranial":[0],"carotid":[1,47],"artery":[2],"aneurysms":[3],"(ECAAs)":[4],"are":[5],"rare,":[6],"and":[7,19,58,103,159,167,205],"the":[8,29,40,62,115,118],"optimal":[9],"therapeutic":[10],"modality":[11],"for":[12,37,82,210],"these":[13],"lesions":[14,48],"remains":[15],"controversial.":[16],"Surgical":[17],"resection":[18],"covered":[20],"stents":[21,77,123],"may":[22,49],"be":[23],"limited":[24,233],"to":[25,53,61],"selected":[26,83,211],"cases.":[27,140],"While":[28],"concept":[30],"of":[31,42,105,117,146],"using":[32],"flow":[33,43,107],"diversion":[34],"is":[35,202,222],"appealing":[36],"large":[38,88,212,238],"aneurysms,":[39,241],"application":[41],"diverters":[44],"in":[45,126,138,151,156,162,182,237],"extracranial":[46],"face":[50],"restrictions":[51],"due":[52],"off-label":[54,225],"use,":[55],"reimbursement":[56,228],"challenges,":[57],"factors":[59],"related":[60],"devices":[63],"themselves.":[64],"We":[65],"report":[66],"our":[67],"experience":[68],"with":[69,87,92],"multiple":[70,93],"overlapping":[71,94,121,134,199],"Low-profile":[72],"Visualized":[73],"Intraluminal":[74],"Support":[75],"(LVIS)":[76],"as":[78],"a":[79,142,203],"reconstructive":[80,208],"option":[81,209],"ECAAs.":[84],"Five":[85],"patients":[86],"ECAAs":[89],"were":[90,124,136,165,174],"treated":[91],"LVIS":[95,122,189,200],"stents.":[96],"The":[97],"primary":[98,219],"goal":[99],"was":[100,180],"parent-artery":[101],"reconstruction":[102],"reduction":[104,108],"intra-aneurysmal":[106],"by":[109,224],"increasing":[110],"local":[111],"metal":[112],"coverage":[113],"across":[114],"neck":[116],"aneurysm.":[119],"Double":[120],"used":[125,137],"3":[127,157,163,183],"cases,":[128,153,158,184],"whereas":[129],"triple":[130],"or":[131,171,177,195,213,227,239,245],"more":[132],"extensive":[133],"constructs":[135],"2":[139,152],"During":[141],"mean":[143],"radiologic":[144],"follow-up":[145],"24":[147],"months,":[148],"complete":[149],"occlusion":[150,155],"partial":[154],"adjunctive":[160,244],"procedures":[161],"cases":[164],"required,":[166],"no":[168],"major":[169],"thromboembolic":[170],"hemorrhagic":[172],"complications":[173],"documented.":[175],"Adjunctive":[176],"staged":[178,246],"treatment":[179,221],"required":[181],"including":[185],"balloon":[186],"angioplasty,":[187],"additional":[188],"stenting,":[190],"flow-diverter":[191,220],"placement,":[192,194],"stent-graft":[193],"coil":[196],"embolization.":[197],"Multiple":[198],"stenting":[201],"feasible":[204],"relatively":[206],"safe":[207],"clinically":[214],"significant":[215],"ECAAs,":[216],"particularly":[217,236],"when":[218],"constrained":[223],"indication":[226],"issues.":[229],"However,":[230],"they":[231],"have":[232],"standalone":[234],"efficacy,":[235],"complex":[240],"often":[242],"requiring":[243],"treatment.":[247]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-05-28T00:00:00"}
