Angiographic and clinical outcomes of stent-alone treatment for spontaneous vertebrobasilar dissecting aneurysm

Yoon, Won Ki; Kim, Young Woo; Kim, Seong-Rim; Park, Ik Seong; Kim, Sang Don; Jo, Kwang Wook; Baik, Min Woo

doi:10.1007/s00701-010-0693-7

Cited by 30 publications

(27 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[7][8][9] Higher rates of longterm angiographic occlusion with multiple overlapping stents compared with single-stent treatment have been demonstrated in multiple series. [10][11][12] Our study found similar rates of good long-term neurologic outcome between patients treated with reconstructive and deconstructive techniques but higher rates of perioperative morbidity among patients treated with deconstructive techniques. Patients treated with deconstructive techniques are at a higher risk of neurologic complications secondary to ischemia resulting from sacrifice of the parent vessel.…”

Section: Discussionsupporting

confidence: 63%

Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis

Sönmez¹,

Brinjikji

Murad

et al. 2015

American Journal of Neuroradiology

View full text Add to dashboard Cite

BACKGROUND AND PURPOSE:Various endovascular techniques have been applied to the treatment of vertebrobasilar dissecting aneurysms, including parent artery preservation with coiling, stent placement or flow diverter placement, and trapping and proximal occlusion. We performed a systematic review and meta-analysis to study clinical and angiographic outcomes of patients undergoing endovascular treatment of vertebrobasilar dissecting aneurysms.

show abstract

Section: Discussionsupporting

confidence: 63%

Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis

Sönmez¹,

Brinjikji

Murad

et al. 2015

American Journal of Neuroradiology

View full text Add to dashboard Cite

show abstract

“…Successful treatment has been reported as a result of the placement of a stent or other flow-diverting devices [18][19][20][21][22][23]. Although preservation of the parent artery is ideal, the durability of the perforating artery or the anterior spinal artery is not clear.…”

Section: Complications and Follow-upmentioning

confidence: 99%

Long-term clinical and radiological results of endovascular internal trapping in vertebral artery dissection

et al. 2012

View full text Add to dashboard Cite

2 Abstract PurposePrevious reports have suggested that endovascular parent artery occlusion is an effective and safe procedure for the treatment of vertebral artery dissection (VAD). However, the results of long-term outcomes are still unclear. This study reviewed the clinical and imaging outcomes of patients with VAD treated by endovascular internal trapping. MethodsA total of 73 patients were treated for VAD by endovascular internal trapping between March 1998 and March 2011. Patients were regularly followed up by magnetic resonance imaging, magnetic resonance angiography, and clinical examinations. Clinical outcomes were evaluated using the modified Rankin Scale. ResultsForty-five patients had ruptured VADs, and 28 had unruptured VADs. Clinical follow-up of at least 6 months data were obtained for 61 patients (83.6%). The follow-up period ranged from 6 to 145 months (mean ± SD, 55.6 ± 8.9 months). Two patients with ruptured VADs had recurrence (2.74%). Cranial nerve paresis (CNP) was observed in 6 patients (8.21%), spinal cord infarction in 2 patients(2.74%) and a perforating artery ischemia was diagnosed in 7 patients (9.59%); all patients with CNP and 5 of the patients with partial Wallenberg syndrome experienced only temporary symptoms; 2 of the patients with partial Wallenberg syndrome had permanent neurological deficits. Despite their symptoms, most patients were in good general condition, as shown by their clinical scores. ConclusionsThe results of this study have proven that endovascular internal trapping is a stable and durable treatment for closure of VADs. Recanalization is rather rare and occurred only in ruptured cases., both within 3months after tnitial treatment without rupture. CNP were observed in 8.21%, perforating ischemia in 9.59%, and spinal cord infarction in 2.74%. The former two are temporaly, while the last can be a factor that affect mRS. Patients rated their quality of life as good, as corroborated by their posttreatment clinical score. Endovascular internal trapping for VAD is a therapy with a satisfactory long-term outcome.

show abstract

“…Even though conservative treatment approach including anticoagulation and controlling blood pressure is preferred by some authorities, cases with progressive symptoms resistant to medical therapies, or when anticoagulant treatment is contraindicated or which the dissections require surgical or endovascular treatment [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…The overall incidence of basilar artery dissection is approximately 1-1.5 in 100,000 [2,3]. Little is known about clinical course and prognosis.…”

Section: Introductionmentioning

confidence: 99%

A Rare Presentation of Stroke: Basilary Artery Dissection

Yılmaz

2012

J Med Cases

View full text Add to dashboard Cite

Basilar artery (BA) dissection has significant morbidity and mortality and the diagnosis of BA dissection is difficult. It should be considered as a differential diagnosis particularly in young adults with subarachnoid hemorrhage and stroke at the watershed area of posterior circulation. An 18 year old male patient presented to our Emergency Department (ED) with complaints related to loss of consciousness, altered mental status and visual disturbances following masturbation. Basilar artery dissection diagnosed based on imagining studies. This is thought to be the first case of basilar artery dissection presented resulting from masturbation.

show abstract

Angiographic and clinical outcomes of stent-alone treatment for spontaneous vertebrobasilar dissecting aneurysm

Abstract: The SAT could be a feasible alternative for the treatment of VBD. The overlapping technique was significantly associated with good angiographic outcome. We expect that technological development of the intracranial stent will allow better procedural outcomes of SAT.

Cited by 30 publications

References 39 publications

Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis

Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis

Long-term clinical and radiological results of endovascular internal trapping in vertebral artery dissection

A Rare Presentation of Stroke: Basilary Artery Dissection

Contact Info

Product

Resources

About