PURPOSE: Endovascular treatment is an attractive approach for the treatment of unruptured vertebral dissecting @entity439 , and includes internal trapping and stent-assisted coil embolization. However, the optimal therapy remains debatable. We reviewed our experience with both endovascular treatment modalities and compared the safety, efficacy, and short-term outcomes for each approach. MATERIALS AND METHODS: We retrospectively reviewed 65 consecutive @entity1 with unruptured vertebral dissecting @entity439 who underwent endovascular treatment between January 2003 and January 2014. 24 @entity1 underwent endovascular internal trapping (group A) while 41 @entity1 underwent stent-assisted coiling (group B). Thirteen @entity1 underwent single stent with coiling while 28 @entity1 underwent double or three stent-assisted coiling. Short-term outcomes were evaluated using the modified Rankin Scale. RESULTS: A favorable clinical outcome was achieved in 58 of 65 @entity1 . Procedure-related complications included @entity63 symptoms (n = 6) and recurrence (n = 4). There was no statistical difference in modified Rankin Scale scoring between groups. Group A @entity1 had more @entity63 symptoms compared with group B @entity1 (p = 0.043), Group B @entity1 had higher recurrence rates compared with group A @entity1 , but the difference had no statistical significance (p = 1.00). However, recurrence only occurred in @entity1 who underwent stent-assisted coiling alone (p = 0.046). CONCLUSION: Stent-assisted coiling for unruptured vertebral dissecting @entity439 may maintain artery patency. Multilayer disposition of stents with coils may decrease complications and facilitate @entity439 . Larger, prospective studies are necessary to determine the long-term outcomes of reconstructive therapy.

Treatment of unruptured vertebral dissecting XXXX : internal trapping or stent-assisted coiling.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'aneurysm occlusion'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia', 'ischemic']
@entity439 :: (MESH:D000783,Disease) :: ['aneurysms']
