Document Detail

Intracranial vertebral artery dissections: evolving perspectives.
MedLine Citation:
PMID:  23217643     Owner:  NLM     Status:  MEDLINE    
Intracranial vertebral artery dissection (VAD) represents the underlying etiology in a significant percentage of posterior circulation ischemic strokes and subarachnoid hemorrhages. These lesions are particularly challenging in their diagnosis, management, and in the prediction of long-term outcome. Advances in the understanding of underlying processes leading to dissection, as well as the evolution of modern imaging techniques are discussed. The data pertaining to medical management of intracranial VADs, with emphasis on anticoagulants and antiplatelet agents, is reviewed. Surgical intervention is discussed, including, the selection of operative candidates, open and endovascular procedures, and potential complications. The evolution of endovascular technology and techniques is highlighted.
M S Ali; P S Amenta; R M Starke; P M Jabbour; L F Gonzalez; S I Tjoumakaris; A E Flanders; R H Rosenwasser; A S Dumont
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Publication Detail:
Type:  Journal Article     Date:  2012-12-03
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  18     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-11     Completed Date:  2013-02-26     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  469-83     Citation Subset:  IM    
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MeSH Terms
Brain Ischemia / diagnosis,  physiopathology,  surgery
Cerebral Angiography
Cerebrovascular Circulation / physiology*
Endovascular Procedures / standards,  trends*
Neurosurgical Procedures / standards,  trends*
Vertebral Artery Dissection / diagnosis,  physiopathology*,  surgery*

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