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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Clinical and Angiographic Follow-Up of Stent-Only Therapy for Acute Intracranial Vertebrobasilar Dissecting Aneurysms

S.I. Park, B.M. Kim, D.I. Kim, Y.S. Shin, S.H. Suh, E.C. Chung, S.Y. Kim, S.H. Kim and Y.S. Won
American Journal of Neuroradiology August 2009, 30 (7) 1351-1356; DOI: https://doi.org/10.3174/ajnr.A1561
S.I. Park
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B.M. Kim
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D.I. Kim
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Y.S. Shin
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S.H. Suh
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E.C. Chung
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S.Y. Kim
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S.H. Kim
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Y.S. Won
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    Fig 1.

    Images in a 42-year-old man presenting with an acute SAH. A, Left vertebral artery angiogram reveals a dissecting aneurysm with an asymmetrically fusiform appearance at the segment-bearing left posterior inferior cerebellar artery. At 42 months after treatment with double overlapping stents, a left vertebral angiogram (B) and 3D reconstruction images (C) show complete obliteration of the dissecting aneurysm sac with preservation of the left PICA.

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    Fig 2.

    Images in a 49-year-old man presenting with an acute SAH. A, Right vertebral angiogram reveals irregular dilation of the right intracranial vertebral artery with a pearl-and-string appearance, involving the origin of the right PICA. B, Right vertebral angiography 4 days after double-overlapping stent insertion shows partial resolution of the pearl-and-string appearance but reveals enlarged fusiform dilation of the dissected segment. C, Six-month follow-up angiogram after third overlapping stent reveals complete obliteration of the fusiform dilation with a preserved PICA and smooth reconstruction of the dissected segment.

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    Fig 3.

    Images in a 24-year-old woman presenting with SAH. A, Left vertebral angiogram reveals an asymmetrical fusiform dilation with a bleb (white arrow) of the basilar artery. B, Left vertebral angiogram immediately after a balloon-expandable coronary stent insertion reveals near-complete obliteration of the dissecting aneurysm sac. C, Left vertebral angiogram performed because of rebleeding 3 days after the single-stent placement shows an irregular-shaped and enlarged pseudoaneurysm (black arrow) of the basilar artery.

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American Journal of Neuroradiology: 30 (7)
American Journal of Neuroradiology
Vol. 30, Issue 7
August 2009
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Cite this article
S.I. Park, B.M. Kim, D.I. Kim, Y.S. Shin, S.H. Suh, E.C. Chung, S.Y. Kim, S.H. Kim, Y.S. Won
Clinical and Angiographic Follow-Up of Stent-Only Therapy for Acute Intracranial Vertebrobasilar Dissecting Aneurysms
American Journal of Neuroradiology Aug 2009, 30 (7) 1351-1356; DOI: 10.3174/ajnr.A1561

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Clinical and Angiographic Follow-Up of Stent-Only Therapy for Acute Intracranial Vertebrobasilar Dissecting Aneurysms
S.I. Park, B.M. Kim, D.I. Kim, Y.S. Shin, S.H. Suh, E.C. Chung, S.Y. Kim, S.H. Kim, Y.S. Won
American Journal of Neuroradiology Aug 2009, 30 (7) 1351-1356; DOI: 10.3174/ajnr.A1561
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  • Radical treatment of ruptured dissecting aneurysm on the P1 segment with monotherapy using multiple LVIS stents
  • Endovascular treatment of bilateral intracranial vertebral artery aneurysms: an algorithm based on a 10-year neurointerventional experience
  • Endovascular sacrifice of the proximal posterior inferior cerebellar artery for treatment of ruptured intracranial aneurysms
  • Endovascular treatment for ruptured and unruptured vertebral artery dissecting aneurysms: a meta-analysis
  • Endovascular reconstruction of unruptured intradural vertebral artery dissecting aneurysms with the Pipeline embolization device
  • Endovascular parent vessel sacrifice in ruptured dissecting vertebral and posterior inferior cerebellar artery aneurysms: clinical outcomes and review of the literature
  • Endovascular treatment of acute intracranial vertebral artery dissection: long-term follow-up results of internal trapping and reconstructive treatment using coils and stents
  • Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis
  • Effect of aneurysm and ICA morphology on hemodynamics before and after flow diverter treatment
  • Stent alone treatment for dissections and dissecting aneurysms involving the basilar artery
  • Endovascular Treatment of Middle Cerebral Artery Aneurysms with Flow Modification with the Use of the Pipeline Embolization Device
  • Report of two cases of a rare cause of subarachnoid hemorrhage including unusual presentation and an emerging and effective treatment option
  • Reconstructive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the Pipeline embolization device
  • Using Leo Plus stent as flow diverter and endoluminal remodeling in endovascular treatment of intracranial fusiform aneurysms
  • Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion
  • Treatment of Intracranial Aneurysms Using the Pipeline Flow-Diverter Embolization Device: A Single-Center Experience with Long-Term Follow-Up Results
  • Reconstructive Endovascular Treatment of Fusiform or Ultrawide-Neck Circumferential Aneurysms with Multiple Overlapping Enterprise Stents and Coiling
  • Incidence and Risk Factors of Recurrence After Endovascular Treatment of Intracranial Vertebrobasilar Dissecting Aneurysms
  • Endovascular Treatment Using Predominantly Stent-Assisted Coil Embolization and Antiplatelet and Anticoagulation Management of Ruptured Blood Blister-Like Aneurysms
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