Vertebral Artery Aneurysm: Partially Thrombosed Dissecting Aneurysm, Symptomatic Through Brainstem Compression, Treatment with Telescoping Surpass Streamline Flow Diverters

2020 ◽  
pp. 1065-1070
Author(s):  
Marin Irizoiu ◽  
Andrik Aschoff ◽  
Christoph Schul ◽  
Christian Taschner
Keyword(s):  
Vertebral Artery ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Streamline Flow ◽  
Brainstem Compression ◽  
Compression Treatment ◽  
Flow Diverters

scholarly journals Successful endovascular coil embolisation of a ruptured V1-segment vertebral artery dissecting aneurysm making a fistula with the adjacent vein

2019 ◽  
Vol 12 (6) ◽  
pp. e229108
Author(s):  
Sajjad Muhammad ◽  
Rahul Raj ◽  
Jussi Numminen ◽  
Mika Niemelä
Keyword(s):  
Vertebral Artery ◽  
Healthy Woman ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Coil Embolisation ◽  
Parent Vessel ◽  
Palpable Mass ◽  
Ct Angiogram ◽  
Vertebral Artery Dissecting Aneurysm ◽  
V1 Segment

Sudden supraclavicular pain is often associated with myocardial infarction but seldom due to a rupture of V1-segment vertebral artery aneurysm. A ruptured V1 segment of vertebral artery dissecting aneurysm making a fistula with the adjacent vein has rarely been described in literature. Here we present a case of a 29-year-old healthy woman with sudden supraclavicular pain and palpable mass that developed after pain. Initial ultrasound showed suspicion of large haematoma. CT angiogram showed a left-sided dissecting V1-segment vertebral artery ruptured aneurysm. Angiography showed an additional fistula between the aneurysm and the adjacent vein. The patient was treated successfully with coil embolisation. The vertebral artery occlusion was well tolerated without any complications. Endovascular coiling is a fast and effective treatment modality. However, a parent vessel occlusion can be sometimes dangerous if the contralateral vertebral artery supply is not sufficient. Surgical possibilities to reconstruct the parent vessel should also be considered in complex cases.

Treatment of Extracranial and Intracranial Aneurysms and Arteriovenous Fistulae Using Stent Grafts

Neurosurgery ◽  
2004 ◽  
Vol 55 (3) ◽  
pp. 631-639 ◽  
Author(s):  
Stephan Felber ◽  
Hans Henkes ◽  
Werner Weber ◽  
Elina Miloslavski ◽  
Stefan Brew ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Stent Graft ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Dissecting Aneurysm ◽  
Neurological Deficits ◽  
Stent Grafts ◽  
Arteriovenous Fistulae ◽  
Vessel Dissection

Abstract OBJECTIVE: Treatment of 11 patients with aneurysms or arteriovenous fistulae of the craniocervical arteries with stent grafts. METHODS: Peripheral stent grafts were deployed in two extracranial internal carotid arteries. Coronary stent grafts were used to treat two giant aneurysms, five direct carotid-cavernous fistulae, one vertebrojugular fistula, and two dissecting aneurysms of the vertebral artery (V2 and V4). RESULTS: Stent grafts were used successfully in two extracranial internal carotid and two extracranial vertebral arteries, one dissecting aneurysm of the intracranial vertebral artery, one giant aneurysm and one pseudoaneurysm of the cavernous internal carotid artery, and five direct carotid-cavernous sinus fistulae. Angiographic follow-up examinations (available in nine patients; obtained at 3 mo to 5 yr; average, 24 mo) revealed normal vessel caliber, and the stent grafts in all 9 of 11 initial patients were patent. There was a recurrent saccular aneurysm adjacent to the stent graft in the patient with the intracranial vertebral artery aneurysm. The following five complications were encountered: transient hemiparesis (n = 2), increased hemiparesis, post-procedural management-related fatality, and ICA dissection. In six patients, stent graft deployment was accomplished without any technical or clinical complication. There were no permanent neurological deficits consequent to stent graft placement. CONCLUSION: Stent grafts are a useful tool for the endovascular treatment of head and neck aneurysms and direct arteriovenous fistulae in selected patients. The major disadvantage of the currently available stent grafts is their lack of mechanical flexibility. Maneuvering stent grafts in the intracranial arteries carries the risk of iatrogenic vessel dissection and may require supportive measures and protection of the target site by conventional stents.

scholarly journals Advancing Marksman into contralateral vertebral artery in the treatment of intradural vertebral artery dissecting aneurysm with Pipeline

2016 ◽  
Vol 23 (2) ◽  
pp. 151-153
Author(s):  
Yupeng Zhang ◽  
Shikai Liang ◽  
Chuhan Jiang
Keyword(s):  
Neck Pain ◽  
Vertebral Artery ◽  
Clinical Course ◽  
Dissecting Aneurysm ◽  
Pipeline Embolization Device ◽  
Vertebral Arteries ◽  
Vertebral Artery Dissecting Aneurysm ◽  
Reconstructive Techniques ◽  
Flow Diverters ◽  
Dissecting Aneurysms

Unruptured vertebral arteries dissecting aneurysms have a benign clinical course. The most common symptoms compromise headache, neck pain, dizziness and vomiting. The optimal endovascular treatment option remains controversial. Reconstructive techniques have many advantages over deconstructive ones since the advent of flow diverters such as the Pipeline embolization device (PED). Here, we present a case successfully treated with a PED through a combination of the radial access and advancement of the Marksman catheter into the contralateral vertebral artery due to the special angio-architecture of the patient.

Vertebral Artery Aneurysm: Ruptured Dissecting Aneurysm, Implantation of Telescoping p48MW HPC Flow Diverter Stents Under Antiaggregation with ASA Only

2020 ◽  
pp. 1081-1095
Author(s):  
Frances Colgan ◽  
Marta Aguilar Pérez ◽  
Victoria Hellstern ◽  
Matthias Reinhard ◽  
Stefan Krämer ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Artery Aneurysm ◽  
Flow Diverter ◽  
Dissecting Aneurysm
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