Endovascular Treatment of Intracranial Vertebral Artery Dissecting Aneurysms: Follow up Angiographic and Clinical Results of Endovascular Treatment in Serial Cases

Neurointervention
Gi Won Shin, Hae Woong Jeong

Abstract

To report angiographic and clinical results of endovascular treatment in 45 intracranial vertebral artery dissecting aneurysms (VADAs). From July 2002 to September 2013, a total of 42 patients with 45 VADAs received endovascular treatment. Endovascular treatment consisted of internal trapping with detachable coils, stent-assisted coiling, and stenting only. Immediate and follow-up angiographic findings and clinical outcome were retrospectively reviewed. There were 17 ruptured VADAs and 28 unruptured VADAs. Overall, 26 VADAs were treated with internal trapping, 14 with stent-assisted coil embolization, and 5 with stenting only. Immediate angiographic results revealed complete occlusion in 31 cases and incomplete occlusion in 14 cases. Follow-up imaging studies were available in 31 cases. On follow-up imaging, antegrade recanalization occurred in 2 of 16 cases treated with internal trapping. Aneurysmal recurrence occurred in one case treated with stent-assisted coiling. Procedural complications occurred in 8 patients. In cases of unruptured VADA, favorable outcome (mRS 0 and 1) was achieved in 26 cases and poor outcome (mRS 2-5) in 2 cases. There was no mortality in patients with unruptured VADAs. Endovascular treatment of intrac...Continue Reading

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Citations

Apr 12, 2005·Mayo Clinic Proceedings·Eelco F M WijdicksDavid G Piepgras
Sep 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jin Pyeong JeonMoon Hee Han
May 26, 2016·Journal of Neurointerventional Surgery·Jian GuanRenzhi Wang
Feb 13, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Karanarak UrasyanandanaAnchalee Churojana
Jan 8, 2021·World Neurosurgery·Ching-Chang ChenAlvin Yi-Chou Wang

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Methods Mentioned

BETA
dissection
dissecting

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