Vertebrobasilar dissection may cause ischaemia or subarachnoid haemorrhage and can pose a significant treatment challenge. Endovascular treatment using stents alone has been described but there are few reports of its clinical application. We here report our experiences from three cases of vertebrobasilar dissection and pseudo-aneurysm or subarachnoid hemorrhage treated with stents alone.
Santos-FrancoJAZentenoMLeeA: Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options. Neurosurg Rev31(2): 131–140; discussion 140, 2008.
2.
ThanviBMunshiSK: Carotid and vertebral artery dissection syndromes. Postgrad Med J81(956): 383–388, 2005.
ZentenoMASantos-FrancoJA: Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients. J Neurosurg108(6): 1104–1118, 2008.
FiorellaDAlbuquerqueFC: Endovascular reconstruction with the Neuroform stent as monotherapy for the treatment of uncoilable intradural pseudoaneurysms. Neurosurgery59(2): 291–300; discussion 291–300, 2006.
7.
KimMLevyEI: Quantification of hemodynamic changes induced by virtual placement of multiple stents across a wide-necked basilar trunk aneurysm. Neurosurgery61(6): 1305–1312; discussion 1312–1313, 2007.
8.
BaiHMasudaJ: Neointima formation after vascular stent implantation. Spatial and chronological distribution of smooth muscle cell proliferation and phenotypic modulation. Arterioscler Thromb14(11): 1846–1853, 1994.
9.
KimMTaulbeeDB: Comparison of two stents in modifying cerebral aneurysm hemodynamics. Ann Biomed Eng36(5): 726–741, 2008.
10.
KallmesDFDingYH: A new endoluminal, flow-disrupting device for treatment of saccular aneurysms. Stroke38(8): 2346–2352, 2007.
11.
FiorellaDWooH: Definitive Reconstruction of Circumferential, Fusiform Intracranial Aneurysms with the Pipeline Embolization Device. Neurosurgery62(5): 1115–1120; discussion 1120–1121, 2008.