Endovascular treatment of vertebrobasilar artery dissecting aneurysms (report of 48 cases)
LIU Fu-de
DENG Jian-ping
ZHANG Tao
CHEN Hu
LI Shuai
WANG Jian-bo
QU You-zhi
ZHAO Zhen-wei
Abstract：Objective To summarize the long-term effects of endovascular treatment on vertebrobasilar dissecting aneurysms (VBDAs). Methods The clinical data of 48 patients with 50 VBDAs, who received endovascular treatment from June, 2010 to August, 2015, were analyzed retrospectively. Of 50 VBDAs, 25 ruptured and 25 did not. Thirty-one VBDAs were treated by stent-assisted coils embolization, 4 only by stents and 15 and their parent arteries together by coils embolization. Results The angiograms immediately after the treatment showed that of 50 VBDAs, 29 were totally occluded, 12 subtotally and 9 in great part. Of 38 patients followed up by the imaging from 3 months to 3 years, 5 had relapse and 33 not. Of 38 patients followed up clinically from 3 months to 3 years, 32 were recovered well and 6 not. Of 6 patients who were recovered poorly, 5 had ruptured VBDAs and 1 unruptured before the treatment. Conclusions The endovascular treatment is a safe and effective method to treat VBDAs, but long-term following-up is needed because VBDAs may recur after the endovascular treatment.
Keywords：Vertebral arteryDissecting aneurysmEndovascular treatmentPrognosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 353-356 )