Staged endovascular treatment of ruptured vertebral artery dissection involving the posterior inferior cerebellar artery
In the treatment of vertebral artery (VA) dissection involving the origin of the posterior inferior cerebellar artery (PICA), the prevention of rebleeding and the preservation of VA and PICA patency are challenging. We report a case with ruptured VA dissection involving the origin of the PICA. In the acute stage, the fusiform dilatation of the dissection was first treated by means of stent-assisted coil embolization. Dual-antiplatelet therapy was administered just before stent placement. Seven days after the first treatment, two additional stents without coils were added. Rebleeding did not occur, and the lesion was thrombosed successfully 4 days after the second treatment, with the preservation of VA and PICA patency. This staged therapy appears to be beneficial in preventing rebleeding and in preserving VA and PICA patency.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Staged endovascular treatment of ruptured vertebral artery dissection involving the posterior inferior cerebellar artery ; volume:14 ; number:02 ; year:2019 ; pages:561-564
Asian journal of neurosurgery ; 14, Heft 02 (2019), 561-564
- Contributor
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Yamao, Yukihiro
Ogino, Eiji
Torikoshi, Sadaharu
Taki, Waro
Nishimura, Masaki
- DOI
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10.4103/ajns.AJNS_251_18
- URN
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urn:nbn:de:101:1-2022111711464023913328
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:20 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Yamao, Yukihiro
- Ogino, Eiji
- Torikoshi, Sadaharu
- Taki, Waro
- Nishimura, Masaki