Intracranial vertebral artery dissections: Evolving perspectives

M. S. Ali, P. S. Amenta, R. M. Starke, P. M. Jabbour, L. F. Gonzalez, S. I. Tjoumakaris, A. E. Flanders, R. H. Rosenwasser, Aaron S. Dumont

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Intracranial vertebral artery dissection (VAD) represents the underlying etiology in a significant percentage of posterior circulation ischemic strokes and subarachnoid hemorrhages. These lesions are particularly challenging in their diagnosis, management, and in the prediction of long-term outcome. Advances in the understanding of underlying processes leading to dissection, as well as the evolution of modern imaging techniques are discussed. The data pertaining to medical management of intracranial VADs, with emphasis on anticoagulants and antiplatelet agents, is reviewed. Surgical intervention is discussed, including, the selection of operative candidates, open and endovascular procedures, and potential complications. The evolution of endovascular technology and techniques is highlighted.

Original languageEnglish (US)
Pages (from-to)469-483
Number of pages15
JournalInterventional Neuroradiology
Volume18
Issue number4
DOIs
StatePublished - Dec 2012
Externally publishedYes

Keywords

  • Dissecting aneurysm
  • Dissection
  • Endovascular
  • Hemorrhage
  • Intracranial
  • Pseudoaneurysm
  • Stent
  • Stroke
  • Subarachnoid
  • Surgery
  • Vertebral artery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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