Intracranial Vertebral Artery Dissections: Evolving Perspectives

被引:32
作者
Ali, M. S. [1 ]
Amenta, P. S. [1 ]
Starke, R. M. [1 ,3 ]
Jabbour, P. M. [1 ]
Gonzalez, L. F. [1 ]
Tjoumakaris, S. I. [1 ]
Flanders, A. E. [2 ]
Rosenwasser, R. H. [1 ]
Dumont, A. S. [1 ]
机构
[1] Thomas Jefferson Univ, Dept Neurol Surg, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ, Dept Radiol, Philadelphia, PA 19107 USA
[3] Univ Virginia, Dept Neurol Surg, Charlottesville, VA USA
关键词
intracranial; vertebral artery; stroke; hemorrhage; subarachnoid; dissection; dissecting aneurysm; pseudoaneurysm; surgery; endovascular; stent; INTERNAL CAROTID-ARTERY; CONNECTIVE-TISSUE DISORDERS; FLIGHT MR-ANGIOGRAPHY; ENDOVASCULAR TREATMENT; SUBARACHNOID HEMORRHAGE; CT ANGIOGRAPHY; VERTEBROBASILAR DISSECTIONS; POSTERIOR CIRCULATION; SURGICAL-TREATMENT; STENT PLACEMENT;
D O I
10.1177/159101991201800414
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:469 / 483
页数:15
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