The use of flow diverter stents in the management of traumatic vertebral artery dissections

José E. Cohen*, John M. Gomori, Samuel Moscovici, Miklosh Bala, Eyal Itshayek

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Flow diverters constitute a new generation of flexible self-expanding stent-like devices with a high metal-surface area coverage, specifically designed for the endovascular management of complex cerebral aneurysms. Recently, other potential applications for these devices in the field of occlusive cerebrovascular disease have been described. In vertebral artery dissections causing occlusion associated with a burden of extensive clots, we have found that the reduced porosity of the diverter mesh serves as an effective barrier to in-stent clot protrusion and distal embolization. We describe the novel use of a flow diverter for the management of an occlusive traumatic vertebral artery dissection. Diverter implantation allowed subsequent angioplasty.

Original languageEnglish
Pages (from-to)731-734
Number of pages4
JournalJournal of Clinical Neuroscience
Volume20
Issue number5
DOIs
StatePublished - May 2013
Externally publishedYes

Keywords

  • Dissection
  • Endovascular treatment
  • Flow diverter
  • Stroke
  • Vertebral artery

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