title: Intravascular ultrasonography-guided stent angioplasty of an extracranial vertebral artery dissection.
abstract: The authors report on a case of intravascular ultrasonography (IVUS)-guided stent angioplasty for iatrogenic extracranial vertebral artery (VA) dissection in a 49-year-old man after coil embolization for an unruptured aneurysm of the right posterior inferior cerebellar artery. Insignificant dissections occurred during the procedure. Postoperatively, the patient experienced gradually worsening posterior neck pain and headache, and follow-up angiography 8 months after the coil embolization revealed expansion of the dissection. The patient underwent stent angioplasty with IVUS guidance and his symptoms improved. To the authors' knowledge, this is the first report of IVUS-guided stent angioplasty of an extracranial VA dissection. It was safe and feasible to treat extracranial VA dissections with stent placement under IVUS guidance. Intravascular environments are in real time with IVUS, and this technique is useful in the confirmation of a true lumen and evaluation of appropriate stent apposition. More clinical experience with this technique is necessary and mandatory, and devices with smaller diameters with improved trackability are essential for further introduction of IVUS into the field of endovascular neurosurgery.
authors.affiliation: Department of Neurosurgery, Holy Family Hospital, The Catholic University of Korea, Bucheon, South Korea.
authors.forename: Won-Ki
authors.initials: WK
authors.lastname: Yoon
authors.forename: Young-Woo
authors.initials: YW
authors.lastname: Kim
authors.forename: Sang-Don
authors.initials: SD
authors.lastname: Kim
authors.forename: Ik-Seong
authors.initials: IS
authors.lastname: Park
authors.forename: Min-Woo
authors.initials: MW
authors.lastname: Baik
authors.forename: Seong-Rim
authors.initials: SR
authors.lastname: Kim
mesh_terms: D017130:Angioplasty / Q000379:methods*; D004621:Embolization, Therapeutic / Q000009:adverse effects; D006801:Humans; D007049:Iatrogenic Disease; D002532:Intracranial Aneurysm / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015607:Stents; D018084:Ultrasonography, Interventional / Q000379:methods*; D014711:Vertebral Artery / Q000000981:diagnostic imaging; D020217:Vertebral Artery Dissection / Q000601:surgery*