E-040 Endovascular reconstructive treatment using a tunneling technique for a fusiform vertebral artery dissecting aneurysm with ipsilateral dominance Article Swipe
T Lee
,
Jun Kyeung Ko
,
Siyun Sung
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/neurintsurg-2019-snis.115
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/neurintsurg-2019-snis.115
Purpose Fusiform dissecting aneurysms involving the dominant vertebral artery with poor collaterals are challenging to treat. This study aimed to evaluate the safety and efficacy of a tunneling technique for reconstructive endovascular treatment of these conditions. Materials and methods Thirteen patients, 11 men and two women, with a mean age of 54.5 years, each with a fusiform vertebral artery dissecting aneurysm not amenable to internal trapping of the parent artery, underwent reconstructive endovascular treatment using a tunneling technique between Jan 2012 and Dec 2015. The safety, feasibility, and clinical and angiographic outcomes of these procedures were retrospectively evaluated. Results The average maximum diameter of the fusiform aneurysms was 12.1 mm. Five of them were ruptured. Three aneurysms were treated with a single stent and the remaining ten aneurysms required double stent placement. Treatment was technically successful in all 13 patients, achieving complete occlusion (n=10, 76.9%) and near complete occlusion (n=3, 23.1%). No procedure-related complications occurred in any patient. There were no delayed thromboembolic or hemorrhagic complications during the follow-up period (mean, 19.0 months). Angiographic follow-ups (mean, 9.1 months) showed stable occlusion in 90.9% (10/11) and asymptomatic in-stent occlusion in one patient (9.1%, 1/11). At the end of the observation period (mean, 19.0 months), all patients had excellent clinical outcomes (mRS 0, 92.3%, 12/13), except one (mRS 4), resulting from poor preoperative status. Conclusion This retrospective study demonstrated that endovascular reconstruction using a tunneling technique was a technically safe, feasible, and clinically effective treatment method for fusiform vertebral artery dissecting aneurysms with ipsilateral dominance. Disclosures T. Lee: None. J. Ko: None. S. Sung: None.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/neurintsurg-2019-snis.115
- https://jnis.bmj.com/content/neurintsurg/11/Suppl_1/A68.1.full.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3022980278Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/neurintsurg-2019-snis.115Digital Object Identifier
- Title
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E-040 Endovascular reconstructive treatment using a tunneling technique for a fusiform vertebral artery dissecting aneurysm with ipsilateral dominanceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
-
2019-07-01Full publication date if available
- Authors
-
T Lee, Jun Kyeung Ko, Siyun SungList of authors in order
- Landing page
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https://doi.org/10.1136/neurintsurg-2019-snis.115Publisher landing page
- PDF URL
-
https://jnis.bmj.com/content/neurintsurg/11/Suppl_1/A68.1.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
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https://jnis.bmj.com/content/neurintsurg/11/Suppl_1/A68.1.full.pdfDirect OA link when available
- Concepts
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Medicine, Fusiform Aneurysm, Occlusion, Vertebral artery, Surgery, Aneurysm, Asymptomatic, Stent, Endovascular treatment, Radiology, Retrospective cohort study, Internal carotid arteryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.vertebral | 7, 57, 246 |
| abstract_inverted_index.clinically | 240 |
| abstract_inverted_index.dissecting | 2, 59, 248 |
| abstract_inverted_index.dominance. | 252 |
| abstract_inverted_index.evaluated. | 97 |
| abstract_inverted_index.follow-ups | 174 |
| abstract_inverted_index.placement. | 131 |
| abstract_inverted_index.procedures | 94 |
| abstract_inverted_index.successful | 135 |
| abstract_inverted_index.challenging | 13 |
| abstract_inverted_index.collaterals | 11 |
| abstract_inverted_index.conditions. | 35 |
| abstract_inverted_index.hemorrhagic | 164 |
| abstract_inverted_index.ipsilateral | 251 |
| abstract_inverted_index.observation | 198 |
| abstract_inverted_index.technically | 134, 236 |
| abstract_inverted_index.Angiographic | 173 |
| abstract_inverted_index.angiographic | 90 |
| abstract_inverted_index.asymptomatic | 185 |
| abstract_inverted_index.demonstrated | 226 |
| abstract_inverted_index.endovascular | 31, 72, 228 |
| abstract_inverted_index.feasibility, | 86 |
| abstract_inverted_index.methods</h3> | 38 |
| abstract_inverted_index.preoperative | 220 |
| abstract_inverted_index.<h3>Materials | 36 |
| abstract_inverted_index.complications | 153, 165 |
| abstract_inverted_index.retrospective | 224 |
| abstract_inverted_index.reconstruction | 229 |
| abstract_inverted_index.reconstructive | 30, 71 |
| abstract_inverted_index.thromboembolic | 162 |
| abstract_inverted_index.retrospectively | 96 |
| abstract_inverted_index.<h3>Purpose</h3> | 0 |
| abstract_inverted_index.<h3>Results</h3> | 98 |
| abstract_inverted_index.procedure-related | 152 |
| abstract_inverted_index.<h3>Conclusion</h3> | 222 |
| abstract_inverted_index.<h3>Disclosures</h3> | 253 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5299999713897705 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.24922064 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |