• Corpus ID: 8954626

Parent vessel occlusion for vertebrobasilar fusiform and dissecting aneurysms.

@article{Leibowitz2003ParentVO,
  title={Parent vessel occlusion for vertebrobasilar fusiform and dissecting aneurysms.},
  author={Rebecca Leibowitz and Huy M. Do and Mary L. Marcellus and Steven D. Chang and Gary K. Steinberg and M.P. Marks},
  journal={AJNR. American journal of neuroradiology},
  year={2003},
  volume={24 5},
  pages={
          902-7
        },
  url={https://api.semanticscholar.org/CorpusID:8954626}
}
  • R. LeibowitzH. Do M. Marks
  • Published in AJNR. American journal of… 1 May 2003
  • Medicine
  • AJNR. American journal of neuroradiology
Long-term outcomes suggest that patients with aneurysms involving only one vertebral artery, where complete thrombosis can be achieved, have better clinical outcomes than those who have aneurYSms involving the basilar artery or both vertebral arteries, wherecomplete thromBosis cannot achieved by using PVO.
View on PubMed
ajnr.org
97 Citations
Highly Influential Citations
1
Background Citations
26
Methods Citations
11
Results Citations
2

Figures and Tables from this paper

97 Citations

Treatment of posterior circulation fusiform aneurysms.

While flow diversion is a useful addition to the armamentarium, traditional endovascular and microsurgical techniques continue to offer effective options and an interdisciplinary treatment approach can result in good outcomes.

Giant Vertebrobasilar Aneurysms: Endovascular Treatment and Long-term Follow-up

Giant vertebrobasilar aneurysms are rare and challenging lesions for both neurosurgeons and neurointerventionalists and their treatment by endovascular PAO remains safe and effective.

Endovascular Treatment of Ruptured and Unruptured Vertebral Artery Aneurysms

Ruptured and unruptured aneurysms of the vertebral artery can be well treated using endovascular techniques, overall long-term results were good and three patients died of rebleeding or progressive mass effect/brainstem ischemia.

Results of Endovascular Management for Mid-Basilar Artery Aneurysms

Endovascular management of mBAAs is an effective treatment in the long-term in patients with mid-basilar artery aneurysm (mBAA), and favorable overall long- term outcome can be achieved in 78.6% patients with mBAA.

Reconstructive Endovascular Treatment of Spontaneous Symptomatic Large or Giant Vertebrobasilar Dissecting Aneurysms: Clinical and Angiographic Outcomes

Reconstructive EVT with traditional intracranial stent(s) for the treatment of large and giant VBDAs carries a high failure rate and substantial risk of complications, and the outcome of treating these difficult lesions with traditional intrusion stenting seems questionable and unpredictable.

Clinical Outcomes of Basilar Artery Aneurysms

Endovascular coil embolization of BAAs is an effective treatment in the long-term and can be achieved in patients with BA apex aneurysms, and in 78.6% of those with BA trunk aneurYSms when using endovascular techniques.

Predictive Factors of Recurrence after Endovascular Treatment of Unruptured Vertebrobasilar Fusiform Aneurysms

Transitional type VBFA, brain compression symptoms, large aneurysmal diameter and length, preoperative mRS score ≥ 2, sole stenting technique, and intra-aneurysmal thrombus are risk factors for aneurYSm recurrence after EVT.

Endovascular management of intracranial vertebral artery dissecting aneurysms.

Despite their often aggressive neurological presentation, intracranial VA dissecting aneurysms can be managed safely with coil occlusion of the lesion and/or parent artery, and even patients presenting in poor neurological condition may improve dramatically.

Reconstructive vs Deconstructive Endovascular Approach to Intradural Vertebral Artery Aneurysms: A Multicenter Cohort Study.

PVS was associated with comparable intraprocedural complications for VA aneurysms as compared to FD in the largest multicenter study to date and both procedures have good long-term clinical and radiological outcomes.

Endovascular Treatment of Symptomatic Intradural Vertebral Dissecting Aneurysms

Intradural vertebral dissecting aneurysms presenting with SAH should be treated promptly because of the high risk of recurrent hemorrhage, and trapping of the dissected segment with coils was straightforward, could be done in most patients, and was effective in preventing rebleeding.
...

14 References

Endovascular treatment of vertebral artery dissections and pseudoaneurysms.

Symptomatic vertebral artery dissections involving the intradural and extradural segments can be effectively managed by endovascular techniques and balloon test occlusion and transluminal angioplasty can be useful adjuncts in the management of this disease.

Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms.

The clinical characteristics of vertebrobasilar dissecting aneurysms occurring with subarachnoid hemorrhage (SAH) were reviewed in 42 patients, with particular focus on the time, incidence, and…

Bilateral vertebral artery balloon occlusion for giant vertebrobasilar aneurysms

The presence of two large posterior communicating arteries predicted good functional outcome, which was also related to the clinical condition at presentation, and the degree of brain-stem compression and oedema on MRI.

Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms.

Stent-supported coil embolization represents an emerging therapeutic alternative to surgery for the treatment of symptomatic or enlarging wide-neck and fusiform aneurysms and pseudoaneurysms of the cervical and vertebrobasilar arteries, which are not amenable to conventional unsupported coil emblization.

Endovascular occlusion of vertebral arteries in the treatment of unclippable vertebrobasilar aneurysms.

It is concluded that endovascular occlusions of the vertebral artery following test occlusion is a safe and effective treatment for proximal aneurysms of the cervical vertebrobasilar circulation.

Deliberate basilar or vertebral artery occlusion in the treatment of intracranial aneurysms. Immediate results and long-term outcome in 201 patients.

Among the 43 patients with incompletely thrombosed aneurysms, 67% developed early or late neurological deterioration from SAH, progressive brain-stem compression, or brain- stem stroke, with 86% of the complications proving fatal.

Clinicopathological study of intracranial fusiform and dolichoectatic aneurysms : insight on the mechanism of growth.

Data suggest that chronic fusiform aneurysms are progressive lesions that start with IEL fragmentation, which seems to be a critical event necessary for lesions to become symptomatic and progress, and this can be monitored on MRI.

Results of Endovascular Treatment

The results of endovascular treatments by parent artery occlusion techniques and endosaccular packing with Guglielmi detachable coils (GDC) will be presented in this chapter. It is obviously…

The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results.

The International Cooperative Study on the Timing of Aneurysm Surgery evaluated the results of surgical and medical management in 3521 patients between December, 1980, and July, 1983 and document the status of management in the 1980's.

The use of electrophysiological monitoring in the intraoperative management of intracranial aneurysms

SSEPs and BAEPs are useful in preventing clinical neurological injury during surgery for intracranial aneurysms and in predicting which patients will have unfavourable outcomes.