Treatment and follow-up of dissections and dissecting aneurysms
| Treatment and Follow-Up | Data |
|---|---|
| Treatment method (initial) | |
| Stent only | 44 (88.0%) |
| Coils only | 2 (4.0%) |
| Combination stent and coils | 4 (8.0%) |
| Stent therapy | |
| Single | 31 (64.6%) |
| Multiple | 17 (35.4%) |
| Result (immediate) | |
| Complete luminal restoration/pseudoaneurysm occlusion | 25 (50.0%) |
| Acceptable luminal restoration/minimal pseudoaneurysm filling | 25 (50.0%) |
| Persistent high-grade stenosis (<30%) | 0 |
| Complications | |
| Stent occlusion | 1 (2.0 %) |
| Stent-related pseudoaneurysm | 1 (2.0%) |
| Transient weakness | 2 (4.0%) |
| Transient visual loss | 1 (2.0%) |
| Follow-up imaging (No. of exams) | |
| CTA | 64 |
| MRA | 17 |
| Conventional angiogram | 23 |
| Follow-up imaging (No. of patients) | |
| CTA or MRA | 39 (83.0%) |
| CTA and MRA | 9 (9.0%) |
| Conventional angiogram | 15 (31.9%) |
| No follow-up | 7 (14.9%) |
| Retreatment | |
| Injuries requiring repeat treatment | 3 (6.0%) |
| Average time to retreatment (wk) | 3 |
| Initially untreated injuries requiring treatment on follow-up | 21 (42.0%) |
| Initial Grade 2a | 3 (14.3%) |
| Initial Grade 3a | 18 (85.7%) |
| Average time to treatment for initially untreated injuries (wk) | 5 |