Bartley Mitchell1, Eric Momin2, Liang-Der Jou3, Hashem Shaltoni3, Hesham Morsi3, Michel Mawad4. 1. Department of Neurosurgery, Baylor College of Medicine, 1709 Dryden suite 750, Houston, TX 77030, USA. 2. Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. 3. Neurovascular Center, St. Luke's Episcopal Hospital, Houston, TX 77030, USA. 4. Neurovascular Center, St. Luke's Episcopal Hospital, Houston, TX 77030, USA ; Neurovascular Center, St. Luke's Episcopal Hospital, Houston, TX 77030, USA.
Abstract
BACKGROUND: Cerebral artery dissection remains a significant cause of stroke, and the mainstay of treatment has been medical management with anticoagulation, although flow-diverting stents have been used in some cases of arterial dissection resistant to medical management. METHODS: We present a case report of bilateral vertebral artery stenting using pipeline embolic device flow-diverting stents, after failed medical management of the dissection. RESULTS: This case demonstrated substantial subsequent vertebral arterial remodeling and good clinical outcome with maintenance of posterior circulation. The patient did not suffer any further strokes or posterior circulation symptoms following vertebral artery remodeling. CONCLUSION: In cases where traditional management of arterial dissection has not been efficacious, flow-diverting stents may be useful in treating dissections of the posterior cerebral circulation, even with bilateral involvement.
BACKGROUND: Cerebral artery dissection remains a significant cause of stroke, and the mainstay of treatment has been medical management with anticoagulation, although flow-diverting stents have been used in some cases of arterial dissection resistant to medical management. METHODS: We present a case report of bilateral vertebral artery stenting using pipeline embolic device flow-diverting stents, after failed medical management of the dissection. RESULTS: This case demonstrated substantial subsequent vertebral arterial remodeling and good clinical outcome with maintenance of posterior circulation. The patient did not suffer any further strokes or posterior circulation symptoms following vertebral artery remodeling. CONCLUSION: In cases where traditional management of arterial dissection has not been efficacious, flow-diverting stents may be useful in treating dissections of the posterior cerebral circulation, even with bilateral involvement.
Authors: M de Barros Faria; R Nella Castro; J Lundquist; E Scrivano; R Ceratto; A Ferrario; P Lylyk Journal: AJNR Am J Neuroradiol Date: 2011-09-01 Impact factor: 3.825
Authors: A Arauz; A Ruiz; G Pacheco; P Rojas; M Rodríguez-Armida; C Cantú; L Murillo-Bonilla; J L Ruiz-Sandoval; F Barinagarrementeria Journal: Eur J Neurol Date: 2012-07-20 Impact factor: 6.089
Authors: K Nedeltchev; T A der Maur; D Georgiadis; M Arnold; V Caso; H P Mattle; G Schroth; L Remonda; M Sturzenegger; U Fischer; R W Baumgartner Journal: J Neurol Neurosurg Psychiatry Date: 2005-02 Impact factor: 10.154
Authors: J P Mohr; J L Thompson; R M Lazar; B Levin; R L Sacco; K L Furie; J P Kistler; G W Albers; L C Pettigrew; H P Adams; C M Jackson; P Pullicino Journal: N Engl J Med Date: 2001-11-15 Impact factor: 91.245
Authors: Andrew F Ducruet; R Webster Crowley; Felipe C Albuquerque; Cameron G McDougall Journal: J Neurointerv Surg Date: 2012-06-20 Impact factor: 5.836
Authors: Ajit S Puri; Francesco Massari; Takumi Asai; Miklos Marosfoi; Peter Kan; Samuel Y Hou; Mary Howk; Mary Perras; Christopher Brooks; Frederic Clarencon; Matthew J Gounis; Ajay K Wakhloo Journal: Neuroradiology Date: 2015-12-23 Impact factor: 2.804