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
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
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
Yamao, Yukihiro
Ogino, Eiji
Torikoshi, Sadaharu
Taki, Waro
Nishimura, Masaki

DOI
10.4103/ajns.AJNS_251_18
URN
urn:nbn:de:101:1-2022111711464023913328
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:20 AM CEST

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Associated

  • Yamao, Yukihiro
  • Ogino, Eiji
  • Torikoshi, Sadaharu
  • Taki, Waro
  • Nishimura, Masaki

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