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Open Access 01-09-2014 | Vascular-Interventional

The Interaction between Stent(s) Implantation, PICA Involvement, and Immediate Occlusion Degree Affect Symptomatic Intracranial Spontaneous Vertebral Artery Dissection Aneurysm (sis-VADA) Recurrence after Reconstructive Treatment with Stent(s)-Assisted Coiling

Authors: Kai-Jun Zhao, Rui Zhao, Qing-Hai Huang, Yi Xu, Bo Hong, Yi-Bin Fang, Qiang Li, Peng-Fei Yang, Jian-Min Liu, Wen-Yuan Zhao

Published in: European Radiology | Issue 9/2014

Abstract

Objectives

We aimed to evaluate risk factors of sis-VADAs recurrence after reconstructive treatment based on 113 reconstructed lesions.

Methods

A total of 111 patients (M:F = 68:43; median age, 47 years) with 113 sis-VADAs underwent reconstruction from October 2000 to March 2011, using stent(s) and coils. Treatments and predictors of recurrence were retrospectively analysed.

Results

Fifty-eight sis-VADAs underwent single-stent treatment, and the remaining 55 sis-VADAs underwent treatment with 2-4 overlapping stents. Follow-up angiography was available for 94 sis-VADAs 12 -78 months, with recurrence in ten patients, including seven angiographic recurrences and three post-treatment haemorrhagic recurrences. A higher rate of post-treatment recurrence was observed in the single stent group than in the multiple stents group (p = 0.010). The interaction between stent (s) implantation and immediate occlusion degree (odds ratio [OR] =3.152; 95 % confidence interval [CI], 1.293-7.686; p = 0.012), between stent (s) implantation and the posterior inferior cerebellar artery (PICA) involvement (OR = 4.607; 95 % CI, 1.172-18.113; p = 0.029), and between PICA involvement and immediate occlusion degree (OR = 5.018; 95 % CI, 1.263-19.933; p = 0.022) affect recurrence in the reconstructed sis-VADAs.

Conclusions

This single centre cohort study indicated that the interaction effect between stent (s) implantation, PICA involvement, and immediate occlusion degree were closely associated with recurrence after reconstructive treatment of sis-VADA.

Key Points

• The interaction between stent (s) and immediate occlusion degree affect aneurysmal recurrence

• The interaction between stent and PICA involvement affect aneurysmal recurrence

• The interaction between PICA involvement and immediate occlusion degree affect aneurysmal recurrence

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Title: The Interaction between Stent(s) Implantation, PICA Involvement, and Immediate Occlusion Degree Affect Symptomatic Intracranial Spontaneous Vertebral Artery Dissection Aneurysm (sis-VADA) Recurrence after Reconstructive Treatment with Stent(s)-Assisted Coiling
Authors: Kai-Jun Zhao
Rui Zhao
Qing-Hai Huang
Yi Xu
Bo Hong
Yi-Bin Fang
Qiang Li
Peng-Fei Yang
Jian-Min Liu
Wen-Yuan Zhao
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 9/2014
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3225-7

ACC 2024 Congress

Springer Medicine

The Interaction between Stent(s) Implantation, PICA Involvement, and Immediate Occlusion Degree Affect Symptomatic Intracranial Spontaneous Vertebral Artery Dissection Aneurysm (sis-VADA) Recurrence after Reconstructive Treatment with Stent(s)-Assisted Coiling

Abstract

Objectives

Methods

Results

Conclusions

Key Points

ACC 2024 Congress

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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