Retrograde recanalization for vertebral artery occlusion without a stump (REVANS): a technical note.

IF 2.6 3区 医学 Q2 CLINICAL NEUROLOGY Neuroradiology Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI:10.1007/s00234-025-03602-4
Jian Wang, Xin Jiang, Hongbo Zheng, Li He, Fayun Hu
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Abstract

Recent case reports suggest that endovascular recanalization may be safe and feasible for vertebral artery occlusion (VAO) patients without a stump, however, comprehensive management strategies for endovascular recanalization remain poorly understood. In this technical note, we describe the REVANS technique in patients with VAO lacking a stump. The REVANS technique demonstrates promise as a viable option for managing symptomatic non-acute VAO without a visible stump. This approach leverages cervical collateral vessels to retrogradely access and recanalize occluded vertebral artery segments, offering potential benefits in improving patient outcomes.

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无残端椎动脉闭塞逆行再通术(REVANS):技术说明。
最近的病例报告表明,对于没有残端的椎动脉闭塞(VAO)患者,血管内再通可能是安全可行的,然而,血管内再通的综合管理策略仍然知之甚少。在这篇技术笔记中,我们描述了REVANS技术在缺乏残肢的VAO患者中的应用。REVANS技术有望成为治疗无可见残端症状性非急性VAO的可行选择。该方法利用颈椎侧支血管逆行进入并再通闭塞的椎动脉段,为改善患者预后提供了潜在的好处。
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来源期刊
Neuroradiology
Neuroradiology 医学-核医学
CiteScore
5.30
自引率
3.60%
发文量
214
审稿时长
4-8 weeks
期刊介绍: Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.
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