Treatment of ruptured vertebral artery dissecting aneurysms distal to the posterior inferior cerebellar artery: stenting or trapping?

Abstract:

PURPOSE:The treatment of ruptured vertebral artery dissecting aneurysms (VADAs) continues to be controversial. Our goal was to evaluate the safety, efficacy, and long-term outcomes of internal trapping and stent-assisted coiling (SAC) for ruptured VADAs distal to the posterior inferior cerebellar artery (supra-PICA VADAs), which is the most common subset. METHODS:A retrospective review was conducted of 39 consecutive ruptured supra-PICA VADAs treated with internal trapping (n = 20) or with SAC (n = 19) at our institution. The clinical and angiographic data were retrospectively compared. RESULTS:The immediate total occlusion rate of the VADAs was 80 % in the trapping group, which improved to 88.9 % at the follow-ups (45 months on average). Unwanted occlusions of the posterior inferior cerebellar artery (PICA) were detected in three trapped cases. Incomplete obliteration of the VADA or unwanted occlusions of the PICA were detected primarily in the VADAs closest to the PICA. In the stenting group, the immediate total occlusion rate was 47.4 %, which improved to 100 % at the follow-ups (39 months on average). The immediate total occlusion rate of the VADAs was higher in the trapping group (p < 0.05), but the later total occlusion was slightly higher in the stenting group (p > 0.05). CONCLUSIONS:Our preliminary results showed that internal trapping and stent-assisted coiling are both technically feasible for treating ruptured supra-PICA VADAs. Although not statistically significant, procedural related complications occurred more frequently in the trapping group. When the VADAs are close to the PICA, we suggest that the lesions should be treated using SAC.

authors

Fang YB,Zhao KJ,Wu YN,Zhou Y,Li Q,Yang PF,Huang QH,Zhao WY,Xu Y,Liu JM

doi

10.1007/s00270-014-0981-3

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

592-9

issue

3

eissn

0174-1551

issn

1432-086X

journal_volume

38

pub_type

杂志文章
  • Clopidogrel responsiveness in patients undergoing peripheral angioplasty.

    abstract:PURPOSE:To investigate the incidence and clinical significance of platelet responsiveness in patients receiving clopidogrel after peripheral angioplasty procedures. MATERIALS AND METHODS:This prospective study included patients receiving antiplatelet therapy with clopidogrel 75 mg after infrainguinal angioplasty or st...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-013-0577-3

    authors: Pastromas G,Spiliopoulos S,Katsanos K,Diamantopoulos A,Kitrou P,Karnabatidis D,Siablis D

    更新日期:2013-12-01 00:00:00

  • Intraarterial ultrasound in pancreatic cancer: feasibility study and preliminary results.

    abstract::Despite technological advances in computed tomography (CT) and magnetic resonance imaging, the involvement of the celiac or mesenteric artery in pancreatic cancer remains uncertain in many cases. Infiltration of these vessels is important in making decisions about therapy choices but often can only be definitively det...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-010-9871-5

    authors: Larena-Avellaneda A,Timm S,Kickuth R,Kenn W,Steger U,Jurowich C,Germer CT

    更新日期:2010-08-01 00:00:00

  • Removal of T-fasteners 2 days after gastrostomy is feasible.

    abstract::T-fastener gastropexy is widely performed as part of gastrostomy insertion. The current literature recommends removal of T-fasteners at 2 weeks. We present a series of patients in whom T-fasteners were removed at 2 days with no major complications. We removed T-fasteners in 109 patients (male-to-female ratio 59:50, ag...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-008-9473-7

    authors: Foster A,Given M,Thornton E,Geoghegan T,Keeling F,McGrath F,Lee MJ

    更新日期:2009-03-01 00:00:00

  • Iodine-125 seeds strand for treatment of tumor thrombus in inferior vena cava: an experimental study in a rabbit model.

    abstract:OBJECTIVE:The purpose of this study was to establish an animal model of implanted inferior vena cava tumor thrombus (IVCTT) and to evaluate the effect of linear iodine-125 seeds strand in treating implanted IVCTT. METHODS:Tumor cell line VX2 was inoculated subcutaneously into New Zealand rabbit to develop the parent t...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-013-0628-9

    authors: Zhang W,Yan Z,Luo J,Fang Z,Wu L,Liu Q,Qu X,Liu L,Wang J

    更新日期:2013-10-01 00:00:00

  • Iliocaval Confluence Stenting for Chronic Venous Obstructions.

    abstract:PURPOSE:Different techniques have been described for stenting of venous obstructions. We report our experience with two different confluence stenting techniques to treat chronic bi-iliocaval obstructions. MATERIALS AND METHODS:Between 11/2009 and 08/2014 we treated 40 patients for chronic total bi-iliocaval obstructio...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-015-1068-5

    authors: de Graaf R,de Wolf M,Sailer AM,van Laanen J,Wittens C,Jalaie H

    更新日期:2015-10-01 00:00:00

  • A Prospective Clinical Study of a Percutaneous Vascular Access System for Hemodialysis Catheters.

    abstract:INTRODUCTION:Dysfunctional or infected hemodialysis polyester-cuffed catheters often require removal and are dissected out. The DermaPort™, percutaneous vascular access system (PVAS) permanently integrates a titanium mesh with the skin forming a stable, sterile barrier that allows for catheter placement, adjustment, or...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-018-2031-z

    authors: Rajan DK,Moran B,Lobl TJ,Asch MR,Steele AW,Lok CE

    更新日期:2018-10-01 00:00:00

  • Embolization of bleeding transverse pancreatic artery aneurysms.

    abstract::In patients with pancreatitis and blood loss, bleeding from visceral artery aneurysms should be suspected, especially in cases complicated by pseudocyst or abscess formation. We report of a patient with a transverse pancreatic artery aneurysm which was successfully embolized. In addition, decompression of the gastric ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02552102

    authors: Knight RW,Kadir S,White RI Jr

    更新日期:1982-01-01 00:00:00

  • Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection.

    abstract:PURPOSE:We evaluated the usefulness of the Amplatzer vascular plug (AVP) for preoperative embolization before distal pancreatectomy with en bloc celiac axis resection (DP-CAR). MATERIALS AND METHODS:Between April 2010 and September 2017, 19 patients with locally advanced pancreatic body cancer underwent preoperative e...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-019-02233-6

    authors: Fuji T,Yamagami T,Fukumoto W,Baba Y,Chosa K,Ishikawa M,Iida M,Naito A,Murakami Y,Uemura K,Kondo N,Awai K

    更新日期:2019-09-01 00:00:00

  • Embolization of a high-output postnephrectomy aortocaval fistula with Gianturco coils and cyanoacrylate.

    abstract::The authors describe the endovascular treatment of a high-output, large-caliber, postnephrectomy aortocaval fistula using a mixture of cyanoacrylate and lipiodol combined with Gianturco coil embolization. Thirty-nine coils were used to decrease the flow through the fistula so that a fast-polymerizing glue mixture coul...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02560151

    authors: Cekirge S,Oguzkurt L,Saatçi I,Boyvat F,Balkanci F

    更新日期:1996-01-01 00:00:00

  • Interventional radiological procedures in impaired function of surgically implanted catheter-port systems.

    abstract:PURPOSE:System-related complications in surgically implanted catheter-port systems (CPS) for intraarterial (i.a.) chemotherapy are well known. In most cases of complications, the treatment must be interrupted and the catheter-port system must be repaired surgically. We describe microinvasive interventional radiological...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s002700001714

    authors: Herrmann KA,Waggershauser T,Heinemann V,Reiser M

    更新日期:2001-01-01 00:00:00

  • The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage.

    abstract:PURPOSE:To retrospectively evaluate the usefulness of virtual fluoroscopic preprocedural planning (VFPP) in the percutaneous transhepatic biliary drainage (PTBD) procedure. MATERIALS AND METHODS:Twenty-two patients who were treated by PTBD were included in this study. Twelve patients were treated using PTBD intraopera...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-017-1581-9

    authors: Kinoshita M,Shirono R,Takechi K,Yonekura H,Iwamoto S,Shinya T,Takao S,Harada M

    更新日期:2017-06-01 00:00:00

  • Retinal embolization during carotid angioplasty and stenting: periprocedural data and follow-up.

    abstract::The purpose of this study was to prospectively evaluate the incidence of retinal emboli during carotid angioplasty and stenting (CAS) and to correlate emboli with clinical findings and transcranial Doppler (TCD)-detected cerebral embolic load. Between 2001 and 2005, 33 CAS procedures in 32 patients (23 [72%] male, 19 ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-009-9775-4

    authors: Vos JA,van Werkum MH,Bistervels JH,Ackerstaff RG,Tromp SC,van den Berg JC

    更新日期:2010-08-01 00:00:00

  • Feasibility of Percutaneous Intrahepatic Split by Microwave Ablation (PISA) After Portal Vein Embolization for Hypertrophy of Future Liver Remnant: The Radiological Stage-1 ALPPS.

    abstract:PURPOSE:To assess the feasibility of radiological stage-1 ALPPS, associating liver partition and portal vein ligation for staged hepatectomy, by combining portal vein embolization (PVE) with percutaneous intrahepatic split by ablation (PISA). MATERIALS AND METHODS:Three patients (mean age 65.0 ± 7.3 years) underwent P...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-018-1882-7

    authors: Lunardi A,Cervelli R,Volterrani D,Vitali S,Lombardo C,Lorenzoni G,Crocetti L,Bargellini I,Campani D,Pollina LE,Cioni R,Caramella D,Boggi U

    更新日期:2018-05-01 00:00:00

  • Pulmonary arterial stent implantation in an adult with Williams syndrome.

    abstract::We report a 38-year-old patient who presented with pulmonary hypertension and right ventricular dysfunction due to pulmonary artery stenoses as a manifestation of Williams syndrome, mimicking chronic thromboembolic pulmonary hypertension. The patient was treated with balloon angioplasty and stent implantation. Short-t...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-007-9009-6

    authors: Reesink HJ,Henneman OD,van Delden OM,Biervliet JD,Kloek JJ,Reekers JA,Bresser P

    更新日期:2007-07-01 00:00:00

  • Volumetric analysis of right ventricular cadaver models viewed in axially angled projections.

    abstract::Axial cinematography of 15 cadaver cast models of the right ventricle was performed, using 16 different real and simulated single and biplane axial oblique projections. Heart volumes were then calculated by Dodge's area-length method and Ferlinz' method. In our volumetric studies of models, the smallest positive devia...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02552633

    authors: Dübel HP,Romaniuk P,Tschapek A

    更新日期:1985-01-01 00:00:00

  • Bronchial artery embolization in the management of pulmonary parenchymal endometriosis with hemoptysis.

    abstract::Pulmonary parenchymal endometriosis is extremely rare and usually manifests itself with a recurrent hemoptysis associated with the menstrual cycle. The therapies proposed for women with endometriosis consist of medical treatments and surgery. Bronchial artery embolization has become a well-established and minimally in...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-007-9284-2

    authors: Kervancioglu S,Andic C,Bayram N,Telli C,Sarica A,Sirikci A

    更新日期:2008-07-01 00:00:00

  • Follow-up results of 71 patients undergoing metallic stent placement for the treatment of a malignant obstruction of the superior vena cava.

    abstract:PURPOSE:To retrospectively clarify the utility of metallic stent placement for the treatment of the malignant obstruction of the superior vena cava (SVC) in 71 patients with VC syndrome (SVCS) on the basis of long-term follow-up data. MATERIALS AND METHODS:Seventy-one patients underwent stent placement and were follow...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-007-9088-4

    authors: Nagata T,Makutani S,Uchida H,Kichikawa K,Maeda M,Yoshioka T,Anai H,Sakaguchi H,Yoshimura H

    更新日期:2007-09-01 00:00:00

  • Irreversible electroporation for focal ablation at the porta hepatis.

    abstract::Patients with chemotherapy-refractory liver metastases who are not candidates for surgery may be treated with focal ablation techniques with established survival benefits. Irreversible electroporation is the newest of these and has the putative advantages of a nonthermal action, preventing damage to adjacent biliary s...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-012-0363-7

    authors: Kasivisvanathan V,Thapar A,Oskrochi Y,Picard J,Leen EL

    更新日期:2012-12-01 00:00:00

  • Angioplasty after laser perforation.

    abstract::Perforation is the most important complication of laser angioplasty and leads to a decrease in success because the procedure has to be discontinued. In 3 patients we continued despite perforation and were able to stop extravasation with percutaneous transluminal angioplasty (PTA) and to finish the procedure with a goo...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577707

    authors: Reekers JA,Sprangers RL,van de Kley AJ

    更新日期:1991-03-01 00:00:00

  • Hemodynamic effects of high versus low-osmolar contrast media for ventriculography in severe aortic stenosis.

    abstract::The hemodynamic effects of high- (diatrizoate meglumine/sodium) and low- (iopamidol) osmolar contrast administration for left ventriculography were compared in 15 patients with severe aortic valve stenosis. Patients were similar with respect to aortic valve gradient, aortic valve area, age, body surface area, and base...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577016

    authors: Lambert CR,Pepine CJ

    更新日期:1988-01-01 00:00:00

  • Embolization of the left gastric artery in the absence of angiographic extravasation.

    abstract::Nine high-risk patients with endoscopic evidence of bleeding from the left gastric artery territory without angiographic extravasation were embolized to prevent rebleeding. Three were embolized with Gelfoam particles, 1 with Gianturco coils, and 5 with Gelfoam plus coils. Three patients rebled; 2 were embolized with G...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02577940

    authors: Morris DC,Nichols DM,Connell DG,Burhenne HJ

    更新日期:1986-01-01 00:00:00

  • Diuretic agent and normal saline infusion technique for ultrasound-guided percutaneous nephrostomies in nondilated pelvicaliceal systems.

    abstract:PURPOSE:Percutaneous nephrostomy (PCN) in a nondilated pelvicaliceal system is technically challenging. We describe an effective method to achieve transient dilatation of the pelvicaliceal system via induction of diuresis using infusion of a diuretic agent in normal saline, therefore allowing easier access to the pelvi...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-012-0461-6

    authors: Yagci C,Ustuner E,Atman ED,Baltaci S,Uzun C,Akyar S

    更新日期:2013-04-01 00:00:00

  • Massive hemorrhage from internal carotid artery pseudoaneurysm successfully treated by transcatheter arterial embolization with assessment of regional cerebral oxygenation.

    abstract::A 54-year-old male presented with intermittent massive hemorrhage from recurrent oropharyngeal cancer. The angiogram showed the encasements at the main trunk of the left internal carotid artery (ICA) and external carotid artery (ECA). Transcatheter arterial embolization (TAE) of the ECA with gelatin sponge particles a...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-004-0211-5

    authors: Kakizawa H,Toyota N,Hieda M,Hirai N,Tachikake T,Horiguchi J,Ito K

    更新日期:2005-07-01 00:00:00

  • Nuclear magnetic resonance of the brain.

    abstract::Recent developments in MRI of the brain are reviewed. Over the past year there has been a general improvement in image quality, a paramagnetic contrast agent has been used in clinical practice, and surface coils have been used more generally in imaging. A wider range of disease has been studied, and there has been con...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/BF02552362

    authors: Bydder GM

    更新日期:1986-01-01 00:00:00

  • Prognostic Nomogram for Patients with Hepatocellular Carcinoma After Thermal Ablation.

    abstract:PURPOSE:To develop an effective prognostic nomogram for patients with hepatocellular carcinoma (HCC) after thermal ablation. METHODS:A total of 772 patients with intrahepatic primary or recurrent HCC who underwent radiofrequency ablation or microwave ablation between March 2011 and October 2016 were included. 602 pati...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-020-02617-z

    authors: Ding M,Zhao X,Zhao M,Shi Y,Wang T,Cui D,Shi D,Zhai B

    更新日期:2020-11-01 00:00:00

  • Endovascular management of visceral artery pseudoaneurysms: transcatheter coil embolization using the isolation technique.

    abstract:PURPOSE:To describe our experiences with treatment of visceral artery pseudoaneurysms (VAPA) by transcatheter coil embolization using an isolation technique and to propose indications for treating VAPA with this method. MATERIALS AND METHODS:We treated 37 patients with VAPA endovascularly: There were 15 pancreaticoduo...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-010-9973-0

    authors: Ikeda O,Nakasone Y,Tamura Y,Yamashita Y

    更新日期:2010-12-01 00:00:00

  • Endovascular management of splenic artery aneurysms and pseudoaneurysms.

    abstract::Splenic artery aneurysms and pseudoaneurysms are being diagnosed with increasing frequency by modern imaging. The question of appropriate treatment--surgical or endovascular--arises more often. We review our experience and that of others as documented in the literature. The information available suggests that endovasc...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章,评审

    doi:10.1007/BF00571531

    authors: McDermott VG,Shlansky-Goldberg R,Cope C

    更新日期:1994-07-01 00:00:00

  • The optimal dose of nicardipine for enhancement of indirect portography.

    abstract:PURPOSE:To determine the optimal dose of nicardipine (NCR) for enhancement of indirect portography. METHODS:Forty-eight patients underwent conventional film indirect portography via the superior mesenteric artery (SMA) first without and then with preinjection of 1/64-2 mg of NCR into the SMA. RESULTS:NCR (1/8-2 mg) s...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s002709900204

    authors: Inoue Y,Nakamura H,Akaji H

    更新日期:1998-01-01 00:00:00

  • Catheter-malposition-induced cardiac tamponade via contrast media leakage during computed tomography study.

    abstract::We present a rare case of a central venous catheter-malposition-induced life-threatening cardiac tamponade as a result of computed tomography (CT) with contrast enhancement in an infant with a ventricular septal defect and pulmonary atresia after a modified Blalock-Taussig shunt. The diagnosis was confirmed by chest r...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-004-0340-x

    authors: Liang CD,Ko SF,Huang CF,Chien SJ,Tiao MM

    更新日期:2005-11-01 00:00:00

  • Impact of rhenium-188, gemcitabine, and 5-fluorouracil on cholangiocellular carcinoma cells: an in vitro study.

    abstract::The purpose of this study was to compare the beneficial effects of radioactive stents and radioactive stents plus additional chemotherapy in the palliative treatment of cholangiocellular carcinomas. Cholangiocellular carcinoma cells (TFK-1 cells) were treated either with 8 Gy (RTB group) or 16 Gy (RTA group) (188)Re o...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章

    doi:10.1007/s00270-009-9563-1

    authors: Wiesinger B,Farkas E,Kehlbach R,Bantleon R,Werner M,Wiskirchen J

    更新日期:2009-07-01 00:00:00