Staged endovascular treatment of ruptured vertebral artery dissection involving the posterior inferior cerebellar artery

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 th...

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Veröffentlicht in:Asian journal of neurosurgery 2019-04, Vol.14 (2), p.561-564
Hauptverfasser: Yamao, Yukihiro, Ogino, Eiji, Torikoshi, Sadaharu, Taki, Waro, Nishimura, Masaki
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Case Report
Clopidogrel
Pica
Stents
Surgery
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container_end_page 564
container_issue 2
container_start_page 561
container_title Asian journal of neurosurgery
container_volume 14
creator Yamao, Yukihiro
Ogino, Eiji
Torikoshi, Sadaharu
Taki, Waro
Nishimura, Masaki
description 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.
doi_str_mv 10.4103/ajns.AJNS_251_18
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subjects Case Report
Clopidogrel
Pica
Stents
Surgery
title Staged endovascular treatment of ruptured vertebral artery dissection involving the posterior inferior cerebellar artery
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