Emergency Endovascular Treatment of a Penetrating Vertebral Artery Injury with Detachable Coils

2005 ◽  
Vol 18 (1) ◽  
pp. 117-121
Author(s):  
H. Akan ◽  
K. Atalay ◽  
Ü. Belet ◽  
Z. Özmen ◽  
S. Gelmez
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Surgical Approach ◽  
Stab Wound ◽  
Active Bleeding ◽  
Vertebral Artery Injury ◽  
Left Vertebral Artery ◽  
Artery Injury ◽  
Bony Canal ◽  
Detachable Coils

The surgical approach is difficult and time-consuming in cases of injury to the bony canal segment of the vertebral artery. Diagnosis and treatment should be performed urgently if the patient has active bleeding. We present a patient with a left vertebral artery injury in a stab wound to the neck in whom emergency endovascular treatment was performed with detachable coils because of ongoing gross bleeding.

Isolated Contralateral Vertebral Artery Injury in a Stab Wound to the Neck

2004 ◽  
Vol 30 (2) ◽  
pp. 124-126
Author(s):  
Robert A. Cherry ◽  
Fausto Y. Vinces ◽  
Mark A. Newell
Keyword(s):  
Vertebral Artery ◽  
Stab Wound ◽  
Vertebral Artery Injury ◽  
Artery Injury

scholarly journals A case of vertebral artery injury caused by a stab wound to the neck who was long time transported by an ambulance

2014 ◽  
Vol 25 (2) ◽  
pp. 50-56
Author(s):  
Atsushi Kotera ◽  
Hiroki Irie ◽  
Takashi Ando ◽  
Shinsuke Iwashita ◽  
Junichi Taniguchi ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Stab Wound ◽  
Vertebral Artery Injury ◽  
Artery Injury ◽  
Long Time

A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck

2007 ◽  
Vol 34 (3) ◽  
pp. 431-434 ◽  
Author(s):  
Jung Je Park ◽  
Hyun Seok Shim ◽  
Jae Ho Jeong ◽  
Soo Hyun Whang ◽  
Jin Pyeong Kim ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Stab Wound ◽  
Vertebral Artery Injury ◽  
Cerebellar Infarction ◽  
Artery Injury

scholarly journals Vertebral Dissecting Aneurysm Treated with Wingspan Stent Deployment and Detachable Coils

2009 ◽  
Vol 15 (1) ◽  
pp. 113-116 ◽  
Author(s):  
M. Lv ◽  
X. Lv ◽  
Y. Li ◽  
X. Yang ◽  
Z. Wu
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Stent Placement ◽  
Dissecting Aneurysm ◽  
Left Vertebral Artery ◽  
Stent Deployment ◽  
Detachable Coils

We describe the first documented endovascular treatment of vertebral dissecting aneurysm using a Wingspan stent and detachable coils. A 54-year-old man presented with a nonruptured vertebral dissecting aneurysm. Because of the dissecting nature of the vertebral aneurysms, a 3×15-mm Wingspan stent was placed in the left vertebral artery. One month later, several detachable coils were introduced into the aneurysm. Six-month follow-up angiogram confirmed the obliteration. Vertebral dissecting aneurysm can be treated with Wingspan stent placement and detachable coils.

scholarly journals Isolated contralateral vertebral artery injury in a stab wound to the neck

2004 ◽  
Vol 39 (2) ◽  
pp. 462-464 ◽  
Author(s):  
Fausto Y Vinces ◽  
Mark A Newell ◽  
Robert A Cherry
Keyword(s):  
Vertebral Artery ◽  
Stab Wound ◽  
Vertebral Artery Injury ◽  
Artery Injury

Indirect surgical management of a penetrating vertebral artery injury

Vascular ◽  
2014 ◽  
Vol 22 (6) ◽  
pp. 468-470 ◽  
Author(s):  
Siniša Pejkić ◽  
Nikola Ilić ◽  
Marko Dragaš ◽  
Andreja Dimić ◽  
Igor Končar ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Balloon Catheter ◽  
Vascular Trauma ◽  
Vertebral Artery Injury ◽  
Left Vertebral Artery ◽  
Fogarty Catheter ◽  
Balloon Tamponade ◽  
Artery Injury ◽  
Arterial Bleeding ◽  
Isolated Injury

Introduction Vertebral artery injury caused by penetrating neck trauma is a rare occurrence. Direct surgical repair is difficult due to anatomy and exposure. Proximal and distal ligation or/and embolization represent the most common management in cases which require intervention. Case report A young man accidentally stabbed in the neck was admitted to the emergency department with active arterial bleeding from the wound. Immediate surgical exploration revealed an isolated injury of the left vertebral artery intraosseous segment. Lesion was managed by proximal segment ligature and distal Fogarty catheter balloon-tamponade. Postoperative angiography excluded the need for further interventions. Balloon-catheter was successfully extracted after 72 hours and patient discharged neurologically intact on postoperative day 7. Fourteen months later, there are no signs of vascular or neurologic complications. Conclusion Balloon-tamponade is a valuable technical adjunct in either temporizing or definitive management of surgically inaccessible vascular trauma.

scholarly journals Fatal Vertebral Artery Injury in Penetrating Cervical Spine Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Chadi Tannoury ◽  
Anthony Degiacomo
Keyword(s):  
Cervical Spine ◽  
Vertebral Artery ◽  
Gunshot Wound ◽  
Vertebral Artery Injury ◽  
Left Vertebral Artery ◽  
Cerebellar Infarction ◽  
Cervical Spine Trauma ◽  
Spine Trauma ◽  
Neurologic Sequela ◽  
Artery Injury

Study Design. This case illustrates complications to a vertebral artery injury (VAI) resulting from penetrating cervical spine trauma.Objectives. To discuss the management of both VAI and cervical spine trauma after penetrating gunshot wound to the neck.Summary of Background Data.Vertebral artery injury following cervical spine trauma is infrequent, and a unilateral VAI often occurs without neurologic sequela. Nevertheless, devastating complications of stroke and death do occur.Methods. A gunshot wound to the neck resulted in a C6 vertebral body fracture and C5–C7 transverse foramina fractures. Neck CT angiogram identified a left vertebral artery occlusion. A cerebral angiography confirmed occlusion of the left extracranial vertebral artery and patency of the remaining cerebrovascular system. Following anterior cervical corpectomy and stabilization, brainstem infarction occurred and resulted in death.Results. A fatal outcome resulted from vertebral artery thrombus propagation with occlusion of the basilar artery triggering basilar ischemia and subsequent brainstem and cerebellar infarction.Conclusions. Vertebral artery injury secondary to cervical spine trauma can lead to potentially devastating neurologic sequela. Early surgical stabilization, along with anticoagulation therapy, contributes towards managing the combination of injuries. Unfortunately, despite efforts, a poor outcome is sometimes inevitable when cervical spine trauma is coupled with a VAI.

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