دورية أكاديمية

Endovascular Treatment of Symptomatic Vertebral Artery Dissecting Aneurysms.

التفاصيل البيبلوغرافية
العنوان: Endovascular Treatment of Symptomatic Vertebral Artery Dissecting Aneurysms.
المؤلفون: Jinsol Han, Dong-Jun Lim, Sung-Kon Ha, Jong-Il Choi, Sung-Won Jin, Se-Hoon Kim
المصدر: Journal of Cerebrovascular & Endovascular Neurosurgery; Sep2016, Vol. 18 Issue 3, p201-207, 7p
مصطلحات موضوعية: THERAPEUTIC embolization, VERTEBRAL artery dissections, ENDOVASCULAR surgery, TREATMENT effectiveness, DIAGNOSIS, THERAPEUTICS
مستخلص: Objective : Vertebral artery dissecting aneurysms (VADAs) are rare and many debates are present about treatment options. We review types and efficacy of our endovascular treatments and establish a safe endovascular therapeutic strategy regard to the angio-architecture of VADAs. Materials and Methods : Between July 2008 and October 2015, we treated 22 patients with symptomatic VADAs. Fifteen patients presented with subarachnoid hemorrhage from the ruptured VADAs, digital subtraction angiography and magnetic resonance image confirmed the diagnosis and endovascular treatments were followed as their angio-architecture. Results : Clinical results were good in 13 patients (86.7%), and there were no technical problems during endovascular procedures. The other 2 patients with poor prognosis showed severe neurological deficits at the initial evaluation. Among the three different endovascular treatments, there were no radiologic cure in one patient with stent insertion alone, but the patient had no significant clinical symptoms either. Conclusion : Endovascular treatments are safe and effective treatment option for managing VADAs and can be the first treatment of choice for most patients. To select proper endovascular treatment according to the angio-architecture of VADAs can reduce the risk of the treatment. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Cerebrovascular & Endovascular Neurosurgery is the property of Korean Society of Cerebrovascular & Endovascular Surgery and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:22348565
DOI:10.7461/jcen.2016.18.3.201