Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils

Object. With the recent development and refinement of endovascular stents, the significant potential for these devices in the treatment of wide-necked dissecting and fusiform aneurysms has become apparent. In this article the authors report on the use of stents and coils to treat dissecting and fusi form vertebral artery (VA) aneurysms. Methods. Eight consecutive patients harboring eight dissecting aneurysms an d one fusiform aneurysm of the VA were succesfully treated using a procedur e in which the authors inserted an intravascular stent and secondary endosa ccular coils when needed. In all but one patient complete aneurysm occlusio n was achieved, and in all cases there was no neurological complication. Fo llow-up angiography examinations were performed in all patients (mean durat ion of follow-up angiography review 13.1 months, range 3-42 months). The pa tients remained stable throughout the clinical follow-up period (mean 14.1 months, range 4-42 months). No rebleeding was recorded. Conclusions. At present this combined approach represents a reliable and sa fe alternative for the treatment of VA dissecting aneurysms, especially in patients who cannot tolerate occlusion tests.