scholarly journals Non-Traumatic Aneurysm of the Extracranial Vertebral Artery

2000 ◽  
Vol 166 (2) ◽  
pp. 180-182 ◽  
Author(s):  
Thomas Bürger, Frank Meyer, Zuhir
Keyword(s):  
Vertebral Artery ◽  
Traumatic Aneurysm ◽  
Extracranial Vertebral Artery

Traumatic Aneurysm of the Extracranial Vertebral Artery

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 628-630 ◽  
Author(s):  
Abolfazl Rahimizadeh ◽  
Manouchehr Sabouri-Daylami ◽  
Naser Amir-Moezi ◽  
Karim Haddadian
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Vein Graft ◽  
Posterior Approach ◽  
Traumatic Aneurysm ◽  
Bony Canal ◽  
Carotid Artery Reconstruction ◽  
Autogenous Vein ◽  
Extracranial Vertebral Artery ◽  
Artery Reconstruction

Abstract Aneurysms of the extracranial vertebral artery are rare because of the protection afforded by the bony canal, and the literature contains only a few limited reports on this subject. In the view of its rarity, we present the case of a 20-year-old soldier with a traumatic aneurysm of the vertebral artery at the C-2 level. Because of occlusion of the ipsilateral carotid artery, reconstruction of the vertebral artery by autogenous vein graft was undertaken through a posterior approach; because of inadequate mobilization of the artery, continuity was preserved using aneurysmorrhaphy. The literature is reviewed, and the various treatments are discussed.

Traumatic aneurysm of the extracranial vertebral artery

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 628???30
Author(s):  
A Rahimizadeh ◽  
M Sabouri-Daylami ◽  
N Amir-Moezi ◽  
K Haddadian
Keyword(s):  
Vertebral Artery ◽  
Traumatic Aneurysm ◽  
Extracranial Vertebral Artery

Mechanical compression of the extracranial vertebral artery during neck rotation

Neurology ◽  
2003 ◽  
Vol 61 (6) ◽  
pp. 845-847 ◽  
Author(s):  
M. Sakaguchi ◽  
K. Kitagawa ◽  
H. Hougaku ◽  
H. Hashimoto ◽  
Y. Nagai ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Mechanical Compression ◽  
Neck Rotation ◽  
Extracranial Vertebral Artery

Extracranial vertebral artery dissection after trauma: A 5-year review

1997 ◽  
Vol 84 (1) ◽  
pp. 94-94 ◽  
Author(s):  
L. C. Thibodeaux ◽  
A. T. Hearn ◽  
J. L. Peschiera ◽  
R. M. Deshmukh ◽  
G. M. Kerlakian ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Extracranial Vertebral Artery

Abstract TP127: Prevalence and Clinical Significance of Asymptomatic Extracranial Vertebral Artery Disease in Patients With Symptomatic Internal Carotid Artery Stenosis: Analysis of Stent-protected Angioplasty versus Carotid Endarterectomy (SPACE) Trial

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Adnan I Qureshi ◽  
Saqib A Chaudhry ◽  
Peter A Ringleb
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Vertebral Artery ◽  
Carotid Artery Stenosis ◽  
Internal Carotid ◽  
Internal Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Vertebral Artery Stenosis ◽  
Extracranial Vertebral Artery ◽  
Artery Disease

Background: Extracranial vertebral artery disease is seen in patients with internal carotid artery stenosis although the clinical significance not well understood. Methods: We analyzed data that was collected as part of the Stent-Protected Angioplasty versus Carotid Endarterectomy (SPACE) trial which recruited patients with recently symptomatic internal carotid artery stenosis. We used Cox proportional hazards analysis to compare the relative risk of various endpoints between the three categories of extracranial vertebral artery disease (normal/hypoplastic, moderate/severe stenosis, and occlusion). The multivariate analyses were adjusted for age, gender, basic demographics and severity of carotid stenosis. Results: Of the 1181 subjects who had extracranial vertebral artery ultrasound evaluation, moderate to severe stenosis and occlusion of one of both extracranial vertebral arteries was diagnosed in 152(12.9%) and 57(4.8%) subjects, respectively. During the mean follow up period (±SD) of 22.1±7.1 months 102(8.6%) and 60(5.1%) experienced a stroke or died, respectively. Compared with subjects with normal or hypoplastic vertebral artery, there was a non-significant 30% higher risk of any stroke among subjects with moderate to severe vertebral artery stenosis (relative risk [RR]1.3, 95% confidence interval [CI]0.7-2.3) after adjusting for potential confounders. There was a 40% and 50% higher risk of ipsilateral stroke (RR 1.4, 95% CI0.7-2.5) and death (RR 1.5, 95% CI 0.7-3.1) among subjects with moderate to severe vertebral artery stenosis after adjusting for potential confounders. In Kaplan Meir analysis, the estimated 1 and 2 year stroke free survival for subjects with moderate to severe vertebral artery stenosis was 88% (standard error [SE]2.6%). In comparison, the estimated 1 and 2 year stroke free survival for subjects with normal or hypoplastic vertebral artery was 92.5%(SE0.8%)and 91.6%(SE0.9), respectively. Conclusions: There appears to be an increased risk of stroke and death in patients with symptomatic internal carotid artery stenosis with concurrent asymptomatic extracranial vertebral artery stenosis.

Giant Pseudoaneurysm of the Extracranial Vertebral Artery Successfully Treated Using Intraoperative Balloon Catheters

Neurosurgery ◽  
1991 ◽  
Vol 28 (5) ◽  
pp. 738-742 ◽  
Author(s):  
Junya Hanakita ◽  
Hideyuki Suwa ◽  
Kiyoshi Nishihara ◽  
Koji Iihara ◽  
Hiroshi Sakaida
Keyword(s):  
Vertebral Artery ◽  
Cardiac Pacemaker ◽  
Innominate Artery ◽  
Anatomical Location ◽  
High Morbidity ◽  
Vertebrobasilar System ◽  
Balloon Catheters ◽  
Extracranial Vertebral Artery ◽  
The Right ◽  
Giant Pseudoaneurysm

Abstract Traumatic pseudoaneurysms of the extracranial vertebral artery rarely occur, because of its deeply protected anatomical location. Because the direct surgical approach has resulted in high morbidity and mortality rates, ligation of the vertebral artery has been adopted, but this can cause an ischemia in the vertebrobasilar system. We report the case of a 73-year-old woman with a huge pseudoaneurysm of the right vertebral artery that occurred after attempted placement of a cardiac pacemaker. The aneurysm was 7 x 7 x 5 cm in size and its neck was situated just distal to the right subclavian artery. Direct surgical repair of the injured vessel and removal of the aneurysm were successfully performed using balloon catheters placed intraoperatively in both the innominate artery and the right vertebral artery.

scholarly journals Treatment Challenges of a Primary Vertebral Artery Aneurysm Causing Recurrent Ischemic Strokes

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Davide Strambo ◽  
Luca Peruzzotti-Jametti ◽  
Aurora Semerano ◽  
Giovanna Fanelli ◽  
Franco Simionato ◽  
...  
Keyword(s):  
Blood Flow ◽  
Vertebral Artery ◽  
Color Doppler ◽  
Artery Aneurysm ◽  
Neurofibromatosis Type ◽  
Distal Portion ◽  
Embolic Stroke ◽  
Left Vertebral Artery ◽  
Stroke Recurrence ◽  
Extracranial Vertebral Artery

Background. Extracranial vertebral artery aneurysms are a rare cause of embolic stroke; surgical and endovascular therapy options are debated and long-term complication may occur. Case Report. A 53-year-old man affected by neurofibromatosis type 1 (NF1) came to our attention for recurrent vertebrobasilar embolic strokes, caused by a primary giant, partially thrombosed, fusiform aneurysm of the left extracranial vertebral artery. The aneurysm was treated by endovascular approach through deposition of Guglielmi Detachable Coils in the proximal segment of the left vertebral artery. Six years later the patient presented stroke recurrence. Cerebral angiography and Color Doppler Ultrasound well characterized the unique hemodynamic condition developed over the years responsible for the new embolic event: the aneurysm had been revascularized from its distal portion by reverse blood flow coming from the patent vertebrobasilar axis. A biphasic Doppler signal in the left vertebral artery revealed a peculiar behavior of the blood flow, alternately directed to the aneurysm and backwards to the basilar artery. Surgical ligation of the distal left vertebral artery and excision of the aneurysm were thus performed. Conclusion. This is the first described case of NF1-associated extracranial vertebral artery aneurysm presenting with recurrent embolic stroke. Complete exclusion of the aneurysm from the blood circulation is advisable to achieve full resolution of the embolic source.

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