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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Vessel occlusion using a single long oversized coil in vertebral artery dissection: a technical note
Mikayel Grigoryan1, Steve M Cordina, Rakesh Khatri
1Department of Neurology, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN 55415, USA. mikayel@gmail.com
Journal of Neurointerventional Surgery
|February 14, 2012
Summary
Medically refractory vertebral artery dissection can be treated with endovascular coil occlusion. A single long oversized coil offers a safe, rapid, and cost-effective alternative for vessel sacrifice in these cases.
Area of Science:
- Vascular Surgery
- Interventional Neurology
- Endovascular Therapy
Background:
- Vertebral artery dissection (VAD) is a significant cause of stroke.
- Medical management is the primary treatment, but some cases are medically refractory.
- Endovascular techniques, including parent vessel occlusion, are options for refractory VAD.
Observation:
- Two cases of medically refractory symptomatic VAD were treated.
- Successful vessel coil occlusion was achieved using a single long oversized coil in both patients.
- This technique for vessel sacrifice has not been previously described.
Findings:
- No periprocedural complications occurred.
- Both patients experienced excellent clinical and angiographic outcomes.
- Patients remained asymptomatic during follow-up.
Implications:
- A single long oversized coil is a safe, rapid, and cost-effective endovascular option for vessel sacrifice in refractory VAD.
- This method may offer an alternative to existing techniques for managing complex vertebral artery dissections.
- Further research could validate this approach for broader clinical application.
