Difficulty and prospects of endovascular treatment for spontaneous intracranial artery dissection

Lei Shi ^1,2, Jinlu Yu ¹

⁰Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China.

Frontiers in Neurology +

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March 18, 2025

View abstract on PubMed

Summary

Intracranial artery dissections (IADs) require intervention in specific cases. Endovascular treatment (EVT) offers effective deconstructive or reconstructive options for IADs, leading to good prognoses.

Area Of Science

Neurology
Vascular Surgery
Interventional Radiology

Background

Intracranial artery dissections (IADs) are uncommon cerebrovascular events.
Ruptured IADs or those with acute large artery occlusion may worsen over time.
Current understanding of endovascular treatment (EVT) for IADs is limited.

Purpose Of The Study

To provide a comprehensive review of endovascular treatment (EVT) for intracranial artery dissections (IADs).
To discuss the incidence, natural history, angiography, indications, techniques, prognosis, and complications of EVT for IADs.

Main Methods

Literature review of existing studies on IADs and EVT.
Inclusion of author experience in evaluating EVT for IADs.
Case-by-case analysis of EVT strategies for different IAD presentations.

Main Results

EVT is the current treatment of choice for select IADs.
Deconstructive and reconstructive EVT techniques are effective options.
Treatment decisions should be individualized based on patient presentation.

Conclusions

EVT is a viable and effective treatment for intracranial artery dissections requiring intervention.
Individualized, case-by-case application of deconstructive or reconstructive EVT ensures optimal patient outcomes.

Keywords:

complication endovascular treatment intracranial artery dissection prognosis review