Recanalisation of spontaneously occluded vertebral artery dissection after subarachnoid haemorrhage
Recanalisation of spontaneously occluded vertebral artery dissection after subarachnoid haemorrhage
复制标题
DOI：
10.1007/s10143-012-0416-z
复制
发表时间：
2012-10-01
影响因子：
2.8
通讯作者：
Yoshida, Kazunari
中科院分区：
文献类型：
--
作者：
Akiyama, Takenori;Onozuka, Satoshi;Yoshida, Kazunari
自发性闭塞是椎动脉夹层破裂的罕见表现。由于其罕见，其自然病史和治疗策略尚未确定。在这里，我们报告五个病变涉及蛛网膜下腔出血后VAD的自发性闭塞，其中三个病变显示再通。根据我们的经验和以往的报道，VAD破裂的自发性闭塞可分为两组-一组为急性期闭塞，再通率较高；另一组为慢性期闭塞，再通率相对较低。每组的潜在机制可能不同，治疗策略也应该根据病理生理而量身定做。
Spontaneous occlusion is a rare manifestation of ruptured vertebral artery dissection (VAD). Its natural history and treatment strategy have yet to be established due to its rarity. Here, we report five lesions involving spontaneous occlusion of VAD after subarachnoid haemorrhage, among which three lesions showed recanalisation. Based on our experience and previous reports, spontaneous occlusion of ruptured VAD can be classified into two groups-one group with occlusion in the acute stage with a high incidence of recanalisation and another group with occlusion in the chronic stage with a relatively low incidence of recanalisation. The underlying mechanism is likely different in each group, and treatment strategies should also be tailored depending on the pathophysiology.