{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:39:45Z","timestamp":1789663185683,"version":"4.0.1"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>The incidence and risk factors for recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms (VBDAs) have not been studied. We aimed to evaluate the incidence and risk factors for recurrence after endovascular treatment of VBDAs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>A total of 111 patients (mean age, 45\u00b110 years) underwent endovascular treatment for 119 VBDAs (ruptured\/unruptured=73:46). Incidence and risk factors for recurrence were retrospectively evaluated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>\n              Sixty-two VBDAs were treated by a reconstructive technique by using 1 to 3 overlapping stents with or without coiling, and 57 VBDAs were treated by a deconstructive technique by using proximal occlusion or internal trapping at the dissected segment of the parent artery. Follow-up angiography was available for 97 VBDAs (81.5%) in 89 patients at 3 days to 48 months (median, 13 months) after treatment. There were 13 recurrences: 6 had rebleeding but 7 had no rebleeding. All 6 hemorrhagic recurrences had initially presented with a ruptured form. Ten recurrences were confirmed by angiography, but 3 recurrences with rebleeding did not receive follow-up angiography. The rate of post-treatment recurrence did not differ between reconstructive and deconstructive treatments. Involvement of the posterior inferior cerebellar artery origin (odds ratio=8.026; 95% confidence interval, 1.561 to 41.259;\n              <jats:italic>P<\/jats:italic>\n              =0.013) was the only independent risk factor for recurrence.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>There was a 13% recurrence after endovascular treatment of VBDAs. Posterior inferior cerebellar artery origin involvement was the only independent risk factor for recurrence after endovascular treatment of VBDAs.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.111.617381","type":"journal-article","created":{"date-parts":[[2011,7,22]],"date-time":"2011-07-22T03:13:55Z","timestamp":1311304435000},"page":"2425-2430","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":120,"title":["Incidence and Risk Factors of Recurrence After Endovascular Treatment of Intracranial Vertebrobasilar Dissecting Aneurysms"],"prefix":"10.1161","volume":"42","author":[{"given":"Byung Moon","family":"Kim","sequence":"first","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Sam","family":"Shin","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Se-Hyuk","family":"Kim","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Hyun","family":"Suh","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yon-Kwon","family":"Ihn","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Ik","family":"Kim","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Il","family":"Park","sequence":"additional","affiliation":[{"name":"From the Department of Radiology (B.M.K., D.I.K., D.J.K., S.I.P.), Yonsei University College of Medicine, Severance Hospital; Neurosurgery Department (Y.S.S.), Catholic University of Korea, St. Mary's Hospital; Neurosurgery Department, Ajou University College of Medicine (S.-H.K.); Radiology Department (S.H.S.), Yonsei University College of Medicine, Gangnam Severance Hospital; and the Radiology Department (Y.-K.I.), Catholic University of Korea, St. Vincent's Hospital, Suwon, Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199505000-00003"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000240493.88473.39"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.90.5.0853"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2009.2.JNS081418"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1561"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000073841.88563.e9"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1990.72.2.0183"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.94.3.0427"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1243"},{"key":"e_1_3_3_11_2","first-page":"902","article-title":"Parent vessel occlusion for vertebrobasilar fusiform and dissecting aneurysms","volume":"24","author":"Leibowitz R","year":"2003","unstructured":"Leibowitz R, Do HM, Marcellus ML, Chang SD, Steinberg GK, Marks MP . 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