Dual impact of flow diverters on ischemic and hemorrhagic outcomes in vertebral artery dissecting aneurysms presenting with ischemia - Takeaways - MDSpire

Dual impact of flow diverters on ischemic and hemorrhagic outcomes in vertebral artery dissecting aneurysms presenting with ischemia

  • By

  • Yuto Shingai

  • Hiroyuki Sakata

  • Shunsuke Omodaka

  • Tomohisa Ishida

  • Ryosuke Tashiro

  • Yoshimichi Sato

  • Hidenori Endo

  • May 8, 2026

  • 0 min

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  • 1

    Flow diversion (FD) was successfully performed in four male patients with ischemia-onset vertebral artery dissecting aneurysms (VADA).

  • 2

    All patients exhibited O’Kelly–Marotta grade C occlusion at six-month follow-up, indicating effective flow remodeling after FD treatment.

  • 3

    No complications, recurrent cerebral infarction, or aneurysmal rupture occurred in any of the patients following FD placement.

  • 4

    FD may be a viable treatment option for selected cases of ischemia-onset VADA, potentially reducing the risk of embolic events.

  • 5

    The study highlights the need for further research on the efficacy of FD in managing ischemia-onset VADA due to limited existing evidence.

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