scholarly journals Dissecting Vertebral Artery Aneurysm Presenting Regrowth After Stent-Assisted Coil Embolization in Acute Stage

2018 ◽  
Vol 10 (6) ◽  
pp. 527-530 ◽  
Author(s):  
Takamichi Hijikata ◽  
Eiichi Baba ◽  
Kazutaka Shirokane ◽  
Atsushi Tsuchiya ◽  
Motohiro Nomura
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Acute Stage

scholarly journals One-stage Stent-assisted Coil Embolization for Rupture-side-unknown Bilateral Vertebral Artery Dissecting Aneurysms in an Acute Stage: A Case Report

2018 ◽  
Vol 5 (2) ◽  
pp. 45-49
Author(s):  
Mio Terashima ◽  
Yoichi Miura ◽  
Fujimaro Ishida ◽  
Naoki Toma ◽  
Tomohiro Araki ◽  
...  
Keyword(s):  
Case Report ◽  
Vertebral Artery ◽  
Coil Embolization ◽  
Acute Stage ◽  
One Stage ◽  
Dissecting Aneurysms

Recurrence of a Vertebral Artery Dissecting Pseudoaneurysm after Successful Stent-supported Coil Embolization: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 53 (3) ◽  
pp. 754-761 ◽  
Author(s):  
Christopher I. MacKay ◽  
Patrick P. Han ◽  
Felipe C. Albuquerque ◽  
Cameron G. McDougall
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Neck Pain ◽  
Vertebral Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Left Vertebral Artery ◽  
Parent Vessel ◽  
Computed Tomographic ◽  
Computed Tomographic Scan

Abstract OBJECTIVE AND IMPORTANCE Dissecting aneurysms of the intracranial vertebral artery are increasingly recognized as a cause of subarachnoid hemorrhage. We present a case involving technical success of the stent-supported coil embolization but with recurrence of the dissecting pseudoaneurysm of the intracranial vertebral artery. The implications for the endovascular management of ruptured dissecting pseudoaneurysms of the intracranial vertebral artery are discussed. CLINICAL PRESENTATION A 36-year-old man with a remote history of head injury had recovered functionally to the point of independent living. He experienced the spontaneous onset of severe head and neck pain, which progressed rapidly to obtundation. A computed tomographic scan of the head revealed subarachnoid hemorrhage centered in the posterior fossa. The patient underwent cerebral angiography, which revealed dilation of the distal left vertebral artery consistent with a dissecting pseudoaneurysm. INTERVENTION Transfemoral access was achieved under general anesthesia, and two overlapping stents (3 mm in diameter and 14 mm long) were placed to cover the entire dissected segment. Follow-up angiography of the left vertebral artery showed the placement of the stents across the neck of the aneurysm; coil placement was satisfactory, with no residual aneurysm filling. Approximately 6 weeks after the patient's initial presentation, he developed the sudden onset of severe neck pain. A computed tomographic scan showed no subarachnoid hemorrhage, but computed tomographic angiography revealed that the previously treated left vertebral artery aneurysm had recurred. Angiography confirmed a recurrent pseudoaneurysm around the previously placed Guglielmi detachable coils. A test balloon occlusion was performed for 30 minutes. The patient's neurological examination was stable throughout the test occlusion period. Guglielmi detachable coil embolization of the left vertebral artery was then performed, sacrificing the artery at the level of the dissection. After the procedure was completed, no new neurological deficits occurred. On the second day after the procedure, the patient was discharged from the hospital. He was alert, oriented, and able to walk. CONCLUSION We appreciate the value of preserving a parent vessel when a dissecting pseudoaneurysm of the intracranial vertebral artery ruptures in patients with inadequate collateral blood flow, in patients with disease involving the contralateral vertebral artery, or in patients with both. However, our case represents a cautionary note that patients treated in this fashion require close clinical follow-up. We suggest that parent vessel occlusion be considered the first option for treatment in patients who will tolerate sacrifice of the parent vessel along its diseased segment. In the future, covered stent technology may resolve this dilemma for many of these patients.

scholarly journals Acute Stage Surgery for Vertebral Artery Aneurysm

1989 ◽  
Vol 17 (1) ◽  
pp. 36-39
Author(s):  
Akira OGAWA ◽  
Yoshiharu SAKURAI ◽  
Takamasa KAYAMA ◽  
Hiroo SATO ◽  
Takashi YOSHIMOTO
Keyword(s):  
Vertebral Artery ◽  
Artery Aneurysm ◽  
Acute Stage

scholarly journals A Case of Coil Embolization for a Ruptured Anterior Spinal Artery Aneurysm Associated with Bilateral Vertebral Artery Occlusion

2021 ◽  
Vol 8 (1) ◽  
pp. 331-334
Author(s):  
Nobuhiko KAWAI ◽  
Masaki TATANO ◽  
Ryoji IMOTO ◽  
Koji HIRASHITA ◽  
Masatoshi YUNOKI ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Anterior Spinal Artery ◽  
Vertebral Artery Occlusion

scholarly journals Hemifacial spasm caused by vertebral artery aneurysm treated by endovascular coil embolization

2020 ◽  
Vol 11 ◽  
pp. 431
Author(s):  
Yu Iida ◽  
Kentaro Mori ◽  
Yosuke Kawahara ◽  
Issei Fukui ◽  
Katsuya Abe ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Hemifacial Spasm ◽  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Aneurysm Neck ◽  
Parent Artery Occlusion ◽  
Endovascular Coil Embolization

Background: Hemifacial spasm (HFS) caused by vertebral artery (VA) aneurysms is rare. Several cases of HFS caused by VA aneurysms treated by endovascular parent artery occlusion (PAO) have been reported. Recently, we treated a rare case of HFS caused by a saccular VA aneurysm at the bifurcation of the posterior inferior cerebellar artery (PICA), which was successfully treated by endovascular coil embolization, preserving the parent artery, and PICA. We discuss endovascular treatment for HFS induced by VA aneurysms with a literature review. Case Description: A 59-year-old man presented with the left HFS persisting for 2 months. Magnetic resonance imaging revealed a left saccular VA-PICA aneurysm and demonstrated that a left facial nerve was compressed by the aneurysm at the root exit zone. Angiography revealed that the PICA was branching from the aneurysm neck. Endovascular coil embolization was performed using the balloon remodeling technique to preserve the left VA and PICA. HFS disappeared after treatment. Conclusion: Although microvascular decompression was commonly accepted for the standard treatment of HFS, coil embolization of aneurysms without PAO may be an effective treatment for HFS caused by VA aneurysms.

scholarly journals Endovascular Treatment of a Vertebral Artery Aneurysm via Puncture of the Surgically Exposed Vertebral Artery

2011 ◽  
Vol 17 (1) ◽  
pp. 74-77 ◽  
Author(s):  
F. Oka ◽  
H. Ishihara ◽  
S. Kato ◽  
M. Shinoyama ◽  
M. Suzuki
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Endovascular Therapy ◽  
Surgical Approach ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Direct Access ◽  
Proximal Side ◽  
Femoral Route

We describe a case of subarachnoid hemorrhage due to a ruptured right vertebral artery (VA) aneurysm where endovascular therapy via a trans-femoral route was not feasible. Therefore we surgically exposed the VA and directly punctured it at the C4 level, followed by successful coil embolization. Direct access to the vertebral artery using an anterior surgical approach is an alternative in cases where the proximal side of the artery is occluded.

Contralateral vertebral approach for stenting and coil embolization of a large, thrombosed vertebral–posterior inferior cerebellar artery aneurysm

2007 ◽  
Vol 107 (6) ◽  
pp. 1214-1216 ◽  
Author(s):  
Robert D. Ecker ◽  
Ricardo A. Hanel ◽  
Elad I. Levy ◽  
L. Nelson Hopkins
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Ipsilateral Side ◽  
Aneurysm Neck ◽  
Cerebellar Artery

✓The authors report the successful staged stenting and coil embolization of a large vertebral artery–posterior inferior cerebellar artery (VA-PICA) aneurysm using the contralateral VA for access. A 67-year-old woman presented with a large ruptured VA-PICA aneurysm. Initial attempts to stent the wide-necked aneurysm from the ipsilateral side failed, so coil embolization of the dome was performed. During a second endovascular session, the aneurysm neck was successfully stented from the contralateral VA into the PICA. Six weeks later, coils were inserted into the aneurysm from the ipsilateral side. The coil result was stable at the 3-month follow-up examination.

scholarly journals Partially Thrombosed Vertebral Artery Aneurysm With Wall Enhancement Treated by Stent-Assisted Coil Embolization

2011 ◽  
Vol 51 (6) ◽  
pp. 431-433 ◽  
Author(s):  
Toshi ABE ◽  
Naoshi HAGIHARA ◽  
Masaru HIROHATA ◽  
Yusuke UCHIYAMA ◽  
Norimitsu TANAKA ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Artery Aneurysm

Recurrent Torticollis Caused by Dissecting Vertebral Artery Aneurysm in a Pediatric Patient: Results of Endovascular Treatment by Use of Coil Embolization: Case Report

Neurosurgery ◽  
2002 ◽  
Vol 50 (1) ◽  
pp. 204-208 ◽  
Author(s):  
Salvatore Grosso ◽  
Rosa Mostardini ◽  
Carlo Venturi ◽  
Sandra Bracco ◽  
Alfredo Casasco ◽  
...  
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Pediatric Patient ◽  
Coil Embolization ◽  
Artery Aneurysm
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