Treatment of fenestrated vertebrobasilar junction-related aneurysms with endovascular techniques |
| |
| Affiliation: | 1. Department of Neurology, M.S. Ramaiah Medical College and Hospital, MSRIT Post, New BEL Road, Bangalore 560054, Karnataka, India;2. Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India;1. Plummer Movement Disorders Center, Neurosciences Institute, Baylor Scott & White Hospital, 2401 S. 31st Street, Temple, TX 76508, USA;2. Department of Internal Medicine, Texas A&M Health Sciences Center, Temple, TX, USA;3. Mind-Body Medicine Research Laboratory, Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA;4. Baylor Movement Disorders Center, Neurosciences Institute, Baylor Scott & White Healthcare, Dallas, TX, USA;5. Movement Disorders Program, Department of Neurology, University of South Carolina, Columbia, SC, USA;1. Department of Neurology, The First Affiliated Hospital of Harbin Medical University, No. 23, Youzheng Street, Nangang District, Harbin 150001, Heilongjiang, China;2. Department of Neurology, The People’s Hospital of Cangzhou, Cangzhou, China;3. Department of Neurology, The First Hospital of Harbin, Harbin, China;4. Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China;5. Department of Pathology, The First Hospital Affiliated of Harbin Medical University, Harbin, China;1. MultiCare Orthopedics & Sports Medicine, Puyallup, WA, USA;2. Department of Orthopaedic Surgery, Loma Linda University Medical Center, 11406 Loma Linda Drive, Suite 213, Loma Linda, CA 92354, USA;3. Department of Pharmaceutical Science, School of Pharmacy, Loma Linda University, CA, USA;4. Back and Sport Institute, Newport Beach, CA, USA |
| |
| Abstract: | Fenestrated vertebrobasilar junction-related aneurysms (fVBJ-AN) are uncommon and endovascular management strategies have become the first options for the treatment of these lesions. This clinical study aimed to report our experience in the endovascular management of these lesions and to review the literature. We retrospectively reviewed 10 consecutive patients harboring 12 fVBJ-AN between January 2007 and December 2014. The demographic, angiographic and clinical data were reviewed. Additionally, a literature review was performed. Endovascular management strategies were successfully applied in all 10 patients. Post-procedural angiograms indicated total occlusion in eight (66.7%) aneurysms, a residual neck in one (8.3%) aneurysm, and three residual aneurysms (25%). No procedure-related complications were observed. Follow-up angiograms were obtained in eight patients and revealed nine occluded aneurysms and one improved aneurysm; two patients were lost to angiographic follow-up. Clinical follow-ups were obtained in all patients (until July 2015), and the modified Rankin Scale scores at 69.5 months (range 17–101 months) of follow-up were 0 in eight patients and 1 in two patients. Endovascular management strategies provided a high occlusion rate and an acceptable complication rate and are thus efficacious in the treatment of fVBJ-AN. Further studies are necessary to validate the utility of these treatments due to the low incidence of fVBJ-AN. |
| |
| Keywords: | Aneurysm Endovascular management Fenestration Literature review Stent-assisted coiling Vertebrobasilar junction |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
