Textbook of Catheter-Based Cardiovascular Interventions pp 1125-1130 | Cite as
Spontaneous intracranial dissection is an uncommon condition that can present in a variety of different ways, from subarachnoid haemorrhage to ischaemia. A high degree of suspicion is required in order to correctly diagnose the condition and institute the appropriate management. The availability of modern imaging, including advanced MR imaging and on-table rotational angiography, has made the diagnosis easier. Treatment is dependent upon the initial presentation, with urgent treatment required for patients presenting with subarachnoid haemorrhage. Endovascular treatment options can be broadly subdivided into reconstructive and deconstructive techniques that either preserve the parent artery or occlude the parent artery, respectively. The risks and benefits of each of these techniques must be considered in unison with the natural history of the disease and its presentation to provide tailored management for patients. In this chapter, we discuss the epidemiology, pathophysiology, presentation, and various treatment strategies as well as the potential risks of the various endovascular treatment options.
- 21.Shin JH, Suh DC, Choi CG, Leei HK. Vertebral artery dissection: spectrum of imaging findings with emphasis on angiography and correlation with clinical presentation. Radiogr Rev Publ Radiol Soc N Am Inc. 2000;20:1687–96.Google Scholar
- 32.Chan RSK, Mak CHK, Wong AKS, Chan KY, Leung KM. Use of the pipeline embolization device to treat recently ruptured dissecting cerebral aneurysms. Interv Neuroradiol 2014;20436–41.Google Scholar