Document Detail


Intravascular ultrasonography-guided stent angioplasty of an extracranial vertebral artery dissection.
MedLine Citation:
PMID:  19035728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report on a case of intravascular ultrasonography (IVUS)-guided stent angioplasty for iatrogenic extracranial vertebral artery (VA) dissection in a 49-year-old man after coil embolization for an unruptured aneurysm of the right posterior inferior cerebellar artery. Insignificant dissections occurred during the procedure. Postoperatively, the patient experienced gradually worsening posterior neck pain and headache, and follow-up angiography 8 months after the coil embolization revealed expansion of the dissection. The patient underwent stent angioplasty with IVUS guidance and his symptoms improved. To the authors' knowledge, this is the first report of IVUS-guided stent angioplasty of an extracranial VA dissection. It was safe and feasible to treat extracranial VA dissections with stent placement under IVUS guidance. Intravascular environments are in real time with IVUS, and this technique is useful in the confirmation of a true lumen and evaluation of appropriate stent apposition. More clinical experience with this technique is necessary and mandatory, and devices with smaller diameters with improved trackability are essential for further introduction of IVUS into the field of endovascular neurosurgery.
Authors:
Won-Ki Yoon; Young-Woo Kim; Sang-Don Kim; Ik-Seong Park; Min-Woo Baik; Seong-Rim Kim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  109     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1113-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, Holy Family Hospital, The Catholic University of Korea, Bucheon, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / methods*
Embolization, Therapeutic / adverse effects
Humans
Iatrogenic Disease
Intracranial Aneurysm / therapy
Male
Middle Aged
Stents*
Ultrasonography, Interventional / methods*
Vertebral Artery / ultrasonography
Vertebral Artery Dissection / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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