Document Detail

Treatment of intra- and extracranial arterial dissections using stents and embolization.
MedLine Citation:
PMID:  16132393     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate the safety and efficacy of stent placement for extracranial and intracranial arterial dissections.
METHODS: Eighteen patients underwent endovascular treatment of carotid and vertebral dissections using intraluminal stent placement. Five patients with arterial dissection were treated, 2 using one insertion of a single stent and 3 using placement of two stents. Patients with a dissecting aneurysm were treated as follows: 7 patients with insertion of one stent, 4 with placement of two stents, and 2 by stent-assisted Guglielmi detachable coil embolization. In the 18 patients in whom stenting was attempted, the overall success in reaching the target lesion was 94.4%. Of the 17 patients treated with stents, stent release and positioning were considered optimal in 16 (94%) and suboptimal in one (6%). In patients who underwent a successful procedure, all parent arteries were preserved. There were no instances of postprocedural ischemic attacks, new neurologic deficits, or new minor or major strokes prior to patient discharge. In follow up, all patients were assessed, using the modified Rankin scale, as functionally improved or of stable clinical status. The reduction in dissection-induced stenosis or pseudoaneurysm, the patency rate obtained at follow-up, and the lack of strokes (ischemic or hemorrhagic) suggest that stent placement offers a viable alternative to complex surgical bypass or reconstructive procedures. The long-term efficacy and durability of stent placement for arterial dissection remain to be determined in a larger series.
Jin Yang Joo; Jung Yong Ahn; Young Sun Chung; In Bo Han; Sang Sup Chung; Pyeong Ho Yoon; Sang Heum Kim; Eun Wan Choi
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  28     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-09-26     Completed Date:  2006-08-30     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  595-602     Citation Subset:  IM    
Department of Neurosurgery, Yonsei University College of Medicine, Seoul, South Korea.
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MeSH Terms
Aneurysm, Dissecting / radiography,  surgery,  therapy*
Blood Vessel Prosthesis Implantation / adverse effects
Carotid Artery, Internal, Dissection / radiography,  surgery,  therapy*
Embolization, Therapeutic* / adverse effects
Follow-Up Studies
Intracranial Aneurysm / radiography,  surgery,  therapy*
Middle Aged
Postoperative Complications / etiology,  physiopathology,  radiography
Retrospective Studies
Stents* / adverse effects
Treatment Outcome
Vascular Patency
Vertebral Artery Dissection / radiography,  surgery,  therapy*

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