血管内治疗VBD课件.pdfVIP

Published August 16, 2012 as 10.3174/ajnr.A3248 Endovascular Reconstruction for Treatment of Vertebrobasilar Dolichoectasia: Long-Term ORIGINAL RESEARCH Outcomes X. Wu BACKGROUND AND PURPOSE: VBD can trigger various clinical symptoms, especially ischemic stroke in Y. Xu the posterior circulation, but there is no effective treatment for their prevention. We aimed to validate the feasibility of coil-assisted stent reconstruction in the vascular lumen for the treatment of VBD and B. Hong to evaluate its long-term effectiveness in preventing ischemic events. W.-Y. Zhao MATERIALS AND METHODS: Clinical and imaging data of 9 patients with unruptured VBD were Q.-H. Huang reviewed retrospectively. Depending on the length and diameter of the diseased target vessel, J.-M. Liu multiple LEO and/or Solitaire stents were implanted, assisted by coils. RESULTS: Stent reconstruction in the vascular lumen was successful in all patients. Procedure-related complications occurred in 1 patient who developed brain stem and cerebellar infarction 8 days after endovascular treatment and died in 4 months. Coil embolization of the nondominant side of the vertebral artery was performed 1 month after the operation in 1 patient who developed partial brain stem and cerebellar infarction lead