Strategies and Outcomes of Endovascular Treatment for Ruptured Vertebral Artery Dissecting Aneurysms: A Single-Center Experience with 44 Consecutive Cases
Haibin Chen, Qi Jia, Guosai Zhang, Linbo Zhao, Sheng Liu · 2026
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Description
Haibin Chen and co-authors report a 2026 single-center series on catheter-based treatment of ruptured vertebral artery dissecting aneurysms. These torn-wall aneurysms bleed dangerously and often rupture again when left alone, so sealing them quickly is the priority. The team reviewed 44 consecutive patients treated between December 2014 and October 2024. Technique was matched to anatomy. For lesions in the non-dominant vessel they closed the parent artery, and where the vessel was dominant they rebuilt it with stent-assisted coiling.
Every procedure succeeded technically. Complete closure at once was reached in all artery-occlusion cases, in 76.9 percent of overlapping stent cases, and in half of single stent cases. Complications occurred in 13.6 percent of patients. Thirty patients, or 68.2 percent, reached a favorable recovery score at three months. Arriving with a severe bleeding grade predicted poor outcome. Follow-up imaging showed 32 of 34 checked aneurysms fully closed, supporting anatomy-guided treatment.
Catalog record
| CREATOR | Haibin Chen, Qi Jia, Guosai Zhang, Linbo Zhao, Sheng Liu |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 19 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |