Comparison of Endovascular Treatments of Ruptured Dissecting Aneurysms of the Intracranial Internal Carotid Artery and Vertebral Artery with a Review of the Literature

Byoun, Hyoung Soo; Yi, Hyeong Joong; Choi, Kyu Sun; Chun, Hyoung Joon; Ko, Yong; Bak, Koang Hum

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자료유형: 학술저널

저자정보: Byoun, Hyoung Soo (Department of Neurosurgery, Seoul National University Bundang Hospital) Yi, Hyeong Joong (Department of Neurosurgery, Hanyang University Medical Center) Choi, Kyu Sun (Department of Neurosurgery, Hanyang University Medical Center) Chun, Hyoung Joon (Department of Neurosurgery, Hanyang University Medical Center) Ko, Yong (Department of Neurosurgery, Hanyang University Medical Center) Bak, Koang Hum (Department of Neurosurgery, Hanyang University Medical Center)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제59권 제5호

발행연도: 2016.1

수록면: 449 - 457 (9page)

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Objective : Subarachnoid hemorrhage (SAH) caused by rupture of an internal carotid artery (ICA) or vertebral artery (VA) dissecting aneuryesm is rare. Various treatment strategies have been used for ruptured intracranial dissections. The purpose of this study is to compare the clinical and angiographic characteristics and outcomes of endovascular treatment for ruptured dissecting aneurysms of the intracranial ICA and VA. Methods : The authors retrospectively reviewed a series of patients with SAH caused by ruptured intracranial ICA and VA dissecting aneurysms from March 2009 to April 2014. The relevant demographic and angiographic data were collected, categorized and analyzed with respect to the outcome. Results : Fifteen patients were identified (6 ICAs and 9 VAs). The percentage of patients showing unfavorable initial clinical condition and a history of hypertension was higher in the VA group. The initial aneurysm detection rate and the percentage of fusiform aneurysms were higher in the VA group. In the ICA group, all patients were treated with double stent-assisted coiling, and showed favorable outcomes. In the VA group, 2 patients were treated with double stent-assisted coiling and 7 with endovascular trapping. Two patients died and 1 patient developed severe disability. Conclusion : Clinically, grave initial clinical condition and hypertension were more frequent in the VA group. Angiographically, bleb-like aneurysms were more frequent in the ICA group and fusiform aneurysms were more frequent in the VA group. Endovascular treatment of these aneurysms is feasible and the result is acceptable in most instances.

#Dissecting aneurysm #Endovascular treatment #Internal carotid artery #Subarachnoid hemorrhage #Vertebral artery

참고문헌 (32)

참고문헌 신청

Ahn JY / 2005 / Treatment of spontaneous arterial dissections with stent placement for preservation of the parent artery / Acta Neurochir (Wien) 147:265~273

Ahn JY / Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling / AJNR Am J Neuroradiol 27:1514~1520

Albuquerque FC / 2005 / Endovascular management of intracranial vertebral artery dissecting aneurysms / Neurosurg Focus 18:E3

Anxionnat R / 2003 / Treatment of hemorrhagic intracranial dissections / Neurosurgery 53:289~300

Fischer S / 2014 / Pipeline embolization device for the treatment of intra- and extracranial fusiform and dissecting aneurysms : initial experience and long-term follow-up / Neurosurgery 75:364~374

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이 논문의 저자 정보

Byoun, Hyoung Soo

소속기관 Department of Neurosurgery, Chungnam National University Hospital

주요연구분야 의약학 > 임상의학 > 신경외과학

논문수 3 이용수 2

Yi, Hyeong Joong