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Updated: May 16, 2026
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Intracranial vertebral artery dissections: evolving perspectives
M S Ali1, P S Amenta, R M Starke
1Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Summary
Vertebral artery dissection (VAD) causes many posterior circulation strokes. This review covers VAD diagnosis, medical and surgical treatments, and advances in imaging and endovascular techniques for better outcomes.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Intracranial vertebral artery dissection (VAD) is a key cause of posterior circulation ischemic stroke and subarachnoid hemorrhage.
- VAD presents diagnostic and management challenges, impacting long-term patient outcomes.
Purpose of the Study:
- To review current understanding of VAD etiology and diagnostic advancements.
- To discuss medical and surgical management strategies for intracranial VAD.
- To highlight the evolution of endovascular techniques in treating VAD.
Main Methods:
- Review of existing literature on intracranial VAD.
- Analysis of data on medical management, including anticoagulants and antiplatelet agents.
- Discussion of surgical interventions, including open and endovascular procedures.
Main Results:
- Advances in understanding VAD pathogenesis and imaging techniques improve diagnosis.
- Medical management focuses on anticoagulation and antiplatelet therapy.
- Endovascular techniques are evolving, offering new treatment options for VAD.
Conclusions:
- Improved diagnostic tools and understanding of VAD are crucial.
- A combination of medical and endovascular approaches optimizes VAD treatment.
- Continued evolution of endovascular technology promises enhanced VAD management.
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