scholarly journals Endovascular Treatment of Intracranial Vertebral Artery Dissection

2021 ◽  
Author(s):  
Joonho Chung ◽  
Yong Cheol Lim ◽  
Yong Sam Shin
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Endovascular Treatment of Ruptured Vertebral Artery Dissection in the Acute Stage

2003 ◽  
Vol 16 (3) ◽  
pp. 306-308 ◽  
Author(s):  
Joji Inamasu ◽  
Yoshiki Nakamura ◽  
Ryoichi Saito ◽  
Yoshiaki Kuroshima ◽  
Keita Mayanagi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Acute Stage ◽  
Artery Dissection

Endovascular Management of Intracranial Vertebral Artery Dissection: Technical Nuances for the Preservation of Posterior Inferior Cerebellar Artery and Basilar Artery

2020 ◽  
Vol 19 (3) ◽  
pp. 241-248
Author(s):  
Gaurav Gupta ◽  
Donna A Eckstein ◽  
Vinayak Narayan ◽  
Fareed Jumah ◽  
Anthony A DePalma ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Basilar Artery ◽  
Posterior Inferior Cerebellar Artery ◽  
Vertebral Artery Dissection ◽  
Treatment Method ◽  
Neurological Deficits ◽  
Artery Dissection ◽  
Treatment Technique ◽  
Cerebellar Artery

Abstract BACKGROUND The treatment of intracranial vertebral artery dissection (VAD) can be challenging. OBJECTIVE To evaluate the clinical presentation, endovascular treatment techniques, and prognostic outcome of patients diagnosed with intracranial VAD at our institution. METHODS A retrospective analysis of 35 patients who were diagnosed with VAD at our institution over 17-yr period (2001-2017) is presented. A total of 27 patients with a total of 30 affected arteries underwent endovascular treatment, and their outcome was evaluated. RESULTS Of the 35 total patients with VAD, 15 presented with headache, 12 with focal neurological deficits, 2 with neck pain, 2 with dizziness, 1 with syncope, and 3 after trauma. Of the 30 dissected arteries, 18 were treated with deconstruction and 12 were treated with stent reconstruction. Treatment method was determined by the dominance of the affected artery and location relative to the ipsilateral posterior inferior cerebellar artery (PICA) and the basilar artery. Deconstructive techniques were utilized in all cases of hypoplastic artery dissection and the majority of codominant artery dissections, whereas reconstruction was performed on the majority of dominant artery dissections. Rupture did not impact treatment technique. Four patients demonstrated post-treatment infarcts, and another 1 patient died because of intraparenchymal bleed. The remaining 22 patients demonstrated favorable clinical outcome. None of the patients developed recanalization or needed retreatment till the last follow-up. CONCLUSION This study suggests that endovascular treatment of intracranial VAD with deconstruction or stent reconstruction based on the patients anatomy, particularly vessel dominance and location with respect to PICA, is feasible and effective though the revascularization procedures still has its role in selected cases.

Intracranial vertebral artery dissection presenting as subarachnoid hemorrhage: successful endovascular treatment

2001 ◽  
Vol 103 (1) ◽  
pp. 64-68 ◽  
Author(s):  
A. B. Conforto ◽  
Fabio Yamamoto ◽  
E. F. Evaristo ◽  
Paulo Puglia ◽  
J. G. Caldas ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection

Endovascular Treatment of Vertebral Artery Dissection Using Stents and Coils: Its Pitfall and Technical Considerations

2010 ◽  
Vol 53 (05/06) ◽  
pp. 243-249 ◽  
Author(s):  
A. Sadato ◽  
S. Maeda ◽  
M. Hayakawa ◽  
Y. Kato ◽  
H. Sano ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Technical Considerations

scholarly journals Dissecting spontaneous vertebral artery aneurysms (V4). Endovascular Reconstructive techniques with fd stents. Case series

2020 ◽  
Vol 31 (4) ◽  
pp. 305-313
Author(s):  
João Victor Amaro de Souza ◽  
Guilherme Cabral de Andrade ◽  
Alexandre Lescszysnki ◽  
Helvercio F P Alves
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Young Patients ◽  
Case Series ◽  
Arterial Occlusion ◽  
Artery Dissection ◽  
Surgical Morbidity ◽  
Reconstructive Technique

Background: Spontaneous vertebral artery dissection (SVAD) is rare and occurs in young patients with subarachnoid hemorrhage (HSA) or stroke (3 to 5%). Only 11% occur in the V4 segment of VA. Its treatment changed in parallel with the progress of endovascular technology. Material and Methods: Six consecutive cases of dissecting vertebral artery aneurysms V4 are reported. All males with mean age 35 years. Clinical presentation with headache and neckache in all cases, ischemic stroke and SAH one case each. All patients underwent reconstructive endovascular treatment with FD stent, with or without microcoils. Results: All patients were under dual antiplatelet therapy before EVT (Aspirin 200mg and clopidogrel 75mg or ticagrelor 180mg/day). Reconstructive technique was performed with FD stent in two cases, associated of microcoils and “jailing technique” in two cases or multiple telescoping stents in three cases. Occlusion of the aneurysm and arterial permeability were found in long term follow up in 5 cases. In a case of fusiform aneurysm, there was late thrombosis of the telescoped stents and arterial occlusion without clinical repercussion. Conclusion: Due to the high rate of surgical morbidity, endovascular treatment became the first line for this kind of aneurysm. The reconstruction using a flow bypass and device reconstructive technique is an attractive alternative, showing long-term favorable clinical and angiographic outcomes with the ability to maintain patency of the parental and lateral branch arteries.

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