Cargando…

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

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) an...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhao, Kai-Jun, Zhao, Rui, Huang, Qing-Hai, Xu, Yi, Hong, Bo, Fang, Yi-Bin, Li, Qiang, Yang, Peng-Fei, Liu, Jian-Min, Zhao, Wen-Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127004/
https://www.ncbi.nlm.nih.gov/pubmed/24895032
http://dx.doi.org/10.1007/s00330-014-3225-7
_version_ 1782329983012700160
author Zhao, Kai-Jun
Zhao, Rui
Huang, Qing-Hai
Xu, Yi
Hong, Bo
Fang, Yi-Bin
Li, Qiang
Yang, Peng-Fei
Liu, Jian-Min
Zhao, Wen-Yuan
author_facet Zhao, Kai-Jun
Zhao, Rui
Huang, Qing-Hai
Xu, Yi
Hong, Bo
Fang, Yi-Bin
Li, Qiang
Yang, Peng-Fei
Liu, Jian-Min
Zhao, Wen-Yuan
author_sort Zhao, Kai-Jun
collection PubMed
description 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 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00330-014-3225-7) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-4127004
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-41270042014-08-14 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 Zhao, Kai-Jun Zhao, Rui Huang, Qing-Hai Xu, Yi Hong, Bo Fang, Yi-Bin Li, Qiang Yang, Peng-Fei Liu, Jian-Min Zhao, Wen-Yuan Eur Radiol Vascular-Interventional 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 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00330-014-3225-7) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2014-06-04 2014 /pmc/articles/PMC4127004/ /pubmed/24895032 http://dx.doi.org/10.1007/s00330-014-3225-7 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by-nc/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Vascular-Interventional
Zhao, Kai-Jun
Zhao, Rui
Huang, Qing-Hai
Xu, Yi
Hong, Bo
Fang, Yi-Bin
Li, Qiang
Yang, Peng-Fei
Liu, Jian-Min
Zhao, Wen-Yuan
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
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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Vascular-Interventional
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127004/
https://www.ncbi.nlm.nih.gov/pubmed/24895032
http://dx.doi.org/10.1007/s00330-014-3225-7
work_keys_str_mv AT zhaokaijun theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT zhaorui theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT huangqinghai theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT xuyi theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT hongbo theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT fangyibin theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT liqiang theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT yangpengfei theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT liujianmin theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT zhaowenyuan theinteractionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT zhaokaijun interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT zhaorui interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT huangqinghai interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT xuyi interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT hongbo interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT fangyibin interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT liqiang interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT yangpengfei interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT liujianmin interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling
AT zhaowenyuan interactionbetweenstentsimplantationpicainvolvementandimmediateocclusiondegreeaffectsymptomaticintracranialspontaneousvertebralarterydissectionaneurysmsisvadarecurrenceafterreconstructivetreatmentwithstentsassistedcoiling