Vertebral artery occlusion with vertebral artery-to-posterior inferior cerebellar artery stenting for preservation of the PICA in treating ruptured vertebral artery dissection

被引:0
作者
Joonho Chung
Bum-soo Kim
Dongwoo Lee
Tae-Hyun Kim
Yong Sam Shin
机构
[1] Inha University School of Medicine,Department of Neurosurgery
[2] Seoul St.Mary’s Hospital,Department of Neurosurgery
[3] The Catholic University of Korea,Department of Radiology
[4] Seoul St. Mary’s Hospital,Department of Neurosurgery
[5] The Catholic University of Korea,undefined
[6] Catholic Medical Center,undefined
[7] Cheju Halla General Hospital,undefined
来源
Acta Neurochirurgica | 2010年 / 152卷
关键词
Vertebral artery dissection; PICA stenting; Enterprise; Stent;
D O I
暂无
中图分类号
学科分类号
摘要
We report a patient with a right vertebral artery (VA) dissecting aneurysm who was treated by placing an Enterprise stent (Cordis Neurovascular, Miami Lakes, FL) from the proximal VA to the posterior inferior cerebellar artery (PICA) in order to save the patency of the PICA. A 47-year-old man was admitted with a ruptured right VA dissecting aneurysm that involved the origin of the PICA. A 4.5 × 37-mm Enterprise stent was then placed through the proximal VA to the PICA. The dissected segment of the VA was completely occluded by coil embolization. The 1-year follow-up angiography showed that the dissected segment was completely occluded and the diameter of the PICA was slightly increased, and the PICA’s patency was good.
引用
收藏
页码:1489 / 1492
页数:3
相关论文
共 61 条
[1]  
Aoki N(1990)Rebleeding from intracranial dissecting aneurysm in the vertebral artery Stroke 21 1628-1631
[2]  
Sakai T(2000)Introduction to symposium: intracranial dissecting aneurysms Neuropathology 20 83-84
[3]  
Hara M(2002)Dissecting aneurysms of the vertebral artery: a management strategy J Neurosurg 97 259-267
[4]  
Yamamoto I(2008)Vascular microanatomy of the pontomedullary junction, posterior inferior cerebellar arteries, and the lateral spinal arteries Interv Neuroradiol 14 49-58
[5]  
Iihara K(1995)Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms Neurosurgery 36 905-913
[6]  
Sakai N(2002)Management of intracranial cerebral artery dissection initially presenting without subarachnoid hemorrhage Neurosurgery 51 930-938
[7]  
Murao K(2006)Treatment of vertebral artery aneurysms with transposition of the posterior inferior cerebellar artery to the vertebral artery combined with parent artery occlusion: Technical note J Neurosurg 105 781-784
[8]  
Sakai H(2003)Endovascular management of vertebrobasilar dissecting aneurysms AJNR Am J Neuroradiol 24 1421-1428
[9]  
Higashi T(2000)Pathology of a dissecting intracranial aneurysm Neuropathology 20 104-108
[10]  
Kogure S(2007)Stenting for vertebrobasilar dissection: a possible treatment option for nonhemorrhagic vertebrobasilar dissection Neuroradiology 49 149-156