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REVIEW article
Front. Neurol.
Sec. Endovascular and Interventional Neurology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1560883
This article is part of the Research Topic Advances in the Understanding, Diagnosis, and Management of Intracranial and Extracranial Arterial Dissections View all 3 articles
Difficulty and prospects of endovascular treatment for spontaneous intracranial artery dissection
Provisionally accepted
Lei Shi 1
Jinlu Yu 2*- 1 Sanbo Brain Hospital, Capital Medical University, Beijing, China
- 2 First Affiliated Hospital of Jilin University, Changchun, China
Intracranial artery dissections (IADs) are relatively uncommon. For ruptured IADs and unruptured IADs with acute large artery occlusion, the size increases significantly during followup, or there are signs of compression with mass occupation. Intervention can be suggested. Currently, endovascular treatment (EVT) is the choice for treating IADs. However, the understanding of EVT for IADs remains limited; therefore, a thorough review is necessary on the basis of a literature review and our experience. In this review, the following issues are discussed: the incidence and natural history of IADs, angiography of IADs, EVT indications for IADs, EVT techniques to treat IADs, the prognosis and complications of EVT for IADs, and EVT techniques for each IAD. After reviewing the literature and on the basis of our experience, the review revealed that when IADs need intervention, deconstructive or reconstructive EVTs can be chosen as an effective option on caseby-case basis to achieve a good prognosis.
Keywords: intracranial artery dissection, endovascular treatment, prognosis, complication, review
Received: 15 Jan 2025; Accepted: 17 Feb 2025.
Copyright: © 2025 Shi and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jinlu Yu, First Affiliated Hospital of Jilin University, Changchun, China
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