Ruptured dissecting aneurysms arising from non-vertebral arteries of the posterior circulation: Endovascular treatment perspective

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dc.contributor.authorOran I.
dc.contributor.authorÇinar Ç.
dc.contributor.authorYaǧci B.
dc.contributor.authorTarhan S.
dc.contributor.authorKiroǧlu Y.
dc.contributor.authorSerter S.
dc.date.accessioned2024-07-22T08:21:43Z
dc.date.available2024-07-22T08:21:43Z
dc.date.issued2009
dc.description.abstractPURPOSE: Most intracranial dissecting aneurysms involve the posterior circulation, and the intradural segment of the vertebral artery is affected in majority of these. The aim of this report is to summarize the results of endovascular treatment in patients with ruptured dissecting aneurysms of the non-vertebral posterior circulation. MATERIALS AND METHODS: During the past six years, the medical records of 23 patients with subarachnoid hemorrhage related to dissecting aneurysm arising from non-vertebral arteries of the posterior circulation were reviewed retrospectively. RESULTS: The locations of the aneurysms were as follows: seven in the posterior cerebral artery, five in the superior cerebellar artery, six in the basilar artery trunk, and five in the posterior inferior cerebellar artery. Two basilar artery aneurysms were treated in the chronic stage with stent-assisted coil embolization. In the remaining patients, the aneurysm was coiled with or without parent vessel occlusion in the acute stage. One patient re-bled and died 20 days after initial treatment. At follow-up, recanalization had occurred in two patients, whose aneurysms were re-embolized successfully. Overall, three patients had permanent neurological sequelae, two had transient neurological sequelae, and one patient died. CONCLUSION: Embolization with or without parent artery occlusion is feasible with an acceptable morbidity and mortality rate in the treatment of dissecting aneurysms confined to non-vertebral arteries of the posterior circulation. © Turkish Society of Radiology 2009.
dc.identifier.issn13053612
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18748
dc.language.isoEnglish
dc.subjectAneurysm, Dissecting
dc.subjectAneurysm, Ruptured
dc.subjectCerebellum
dc.subjectCerebrovascular Circulation
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectIntracranial Aneurysm
dc.subjectPosterior Cerebral Artery
dc.subjectRetrospective Studies
dc.subjecttirofiban
dc.subjectacute disease
dc.subjectadult
dc.subjectaged
dc.subjectaneurysm rupture
dc.subjectangiography
dc.subjectbasilar artery
dc.subjectchronic disease
dc.subjectclinical article
dc.subjectclinical effectiveness
dc.subjectcoil embolization
dc.subjectcontrolled study
dc.subjectdissecting aneurysm rupture
dc.subjectendovascular surgery
dc.subjectfeasibility study
dc.subjectfemale
dc.subjecthuman
dc.subjectimage analysis
dc.subjectmale
dc.subjectmedical record review
dc.subjectmorbidity
dc.subjectmortality
dc.subjectneurologic disease
dc.subjectpatient safety
dc.subjectposterior cerebral artery
dc.subjectposterior inferior cerebellar artery
dc.subjectrecanalization
dc.subjectreview
dc.subjectstent
dc.subjectstent thrombosis
dc.subjectsubarachnoid hemorrhage
dc.subjectthromboembolism
dc.subjectvertebral artery
dc.titleRuptured dissecting aneurysms arising from non-vertebral arteries of the posterior circulation: Endovascular treatment perspective
dc.typeReview

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