The Difference of Each Angiographic Finding After Multiple Stent According to Stent Type in Bilateral Vertebral Artery Dissection.
10.7461/jcen.2013.15.3.229
- Author:
Dong Hoon LEE
1
;
Woon Ki YOON
;
Min Woo BAIK
;
Hoon KIM
Author Information
1. Department of Neurosurgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea. armada1997@naver.com
- Publication Type:Case Report
- Keywords:
Aneurysm;
Dissection;
Stent angioplasty;
Vertebral artery
- MeSH:
Aneurysm;
Aneurysm, Dissecting;
Stents;
Subarachnoid Hemorrhage;
Vertebral Artery;
Vertebral Artery Dissection
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2013;15(3):229-234
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of spontaneous bilateral intracranial vertebral artery dissecting aneurysms with subarachnoid hemorrhage. One dissecting lesion was treated with a coronary balloon-mounted stent (BMS) technique; however, due to differences in access route tortuosity, the other lesion was treated with a self-expandable stent (SES) technique. After 2 months, the angiographic outcome showed complete healing of the dissected segment on the side that was treated with BMS; in contrast, the dissection lesion appeared to be re-growing on the side that was treated with SES. Complete treatment of the aggravated lesion was achieved by additional deployment of BMSs. Therefore, we have provided a discussion of the possible reasons for this difference in outcome according to the stent type.
