Iatrogenic left vertebral artery pseudoaneurysm treated with a covered stent

Vertebral artery pseudoaneurysm usually occurs after major trauma, but it can arise spontaneously after trivial injury. Clinical manifestations are often related to alterations in the posterior brain circulation. CT and angiography are usually the diagnostic methods of choice. We present a case of a pseudoaneurysm of the left vertebral artery caused by a lesion during a cervical spine surgery and treated with endovascular approach with a covered stent.

Download Full-text

Combined reconstructive and deconstructive endovascular approach for bilateral vertebral artery dissection with subarachnoid hemorrhage

Neurosurgical FOCUS ◽

10.3171/2019.1.focusvid.18483 ◽

2019 ◽

Vol 46 (Suppl_1) ◽

pp. V13

Author(s):

Jacob Cherian ◽

Thomas P. Madaelil ◽

Frank Tong ◽

Brian M. Howard ◽

C. Michael Cawley ◽

...

Keyword(s):

Subarachnoid Hemorrhage ◽

Vertebral Artery ◽

Vertebral Artery Dissection ◽

Left Vertebral Artery ◽

Artery Dissection ◽

Critical Flow ◽

Alternative Strategies ◽

Potential Alternative ◽

Endovascular Approach ◽

The Right

The video highlights a challenging case of bilateral vertebral artery dissection presenting with subarachnoid hemorrhage. The patient was found to have a critical flow-limiting stenosis in his dominant right vertebral artery and a ruptured pseudoaneurysm in his left vertebral artery. A single-stage endovascular treatment with stent reconstruction of the right vertebral artery and coil embolization sacrifice of the left side was performed. The case highlights the rationale for treatment and potential alternative strategies.The video can be found here: https://youtu.be/e0U_JE2jISw.

Download Full-text

Repair of Iatrogenic Subclavian Artery Pseudoaneurysm with Covered Stent Placement after Vertebral Artery Transposition

Journal of Vascular and Interventional Radiology ◽

10.1097/01.rvi.0000183218.10115.82 ◽

2005 ◽

Vol 16 (12) ◽

pp. 1759-1760 ◽

Cited By ~ 7

Author(s):

Oliver O. Aalami ◽

Philip Lisagor ◽

G.P. Victorino ◽

Huey McDaniel ◽

Boris Nikolic

Keyword(s):

Vertebral Artery ◽

Subclavian Artery ◽

Stent Placement ◽

Covered Stent ◽

Artery Pseudoaneurysm

Download Full-text

Endovascular Management of Traumatic Vertebral Artery Pseudoaneurysm Associated with Vertebral Arteriovenous Fistula Using a Covered Stent

Cureus ◽

10.7759/cureus.5716 ◽

2019 ◽

Author(s):

Arun K Gupta ◽

Vivek Murumkar ◽

Sameer Peer

Keyword(s):

Vertebral Artery ◽

Arteriovenous Fistula ◽

Covered Stent ◽

Endovascular Management ◽

Artery Pseudoaneurysm ◽

Vertebral Arteriovenous Fistula

Download Full-text

Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device

Case Reports in Vascular Medicine ◽

10.1155/2014/341748 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Sudheer Ambekar ◽

Mayur Sharma ◽

Donald Smith ◽

Hugo Cuellar

Keyword(s):

Vertebral Artery ◽

Successful Treatment ◽

Vascular Reconstruction ◽

Left Vertebral Artery ◽

Parent Vessel ◽

Traditional Treatment ◽

Artery Pseudoaneurysm ◽

Pipeline Embolization Device ◽

Extracranial Vertebral Artery ◽

C2 Fixation

Traumatic pseudoaneurysms are uncommon and one of the most difficult lesions to treat. Traditional treatment methods have focused on parent vessel sacrifice with or without revascularization. We report the case of a patient who underwent successful treatment of an iatrogenic extracranial vertebral artery pseudoaneurysm using the Pipeline Embolization Device. A 47-year-old man sustained an inadvertent injury to the left vertebral artery during C1-C2 fixation. Subsequent imaging revealed an iatrogenic vertebral artery pseudoaneurysm. Immediate angiogram was normal. A repeat angiogram done after 3 days of the surgery revealed a vertebral artery pseudoaneurysm. He underwent aneurysm exclusion and vascular reconstruction using the Pipeline Embolization Device. Although flow-diverting stents are currently not being used for treating traumatic pseudoaneurysms, their use may be considered in such cases if active bleeding has ceased. In our case, the patient did well and the aneurysm was excluded from circulation while reconstructing the vessel wall.

Download Full-text

Covered Stent Application of a Repeatedly Regrowing Iatrogenic Subclavian Artery Pseudoaneurysm at the Origin of the Vertebral Artery

Interventional Neuroradiology ◽

10.1177/159101990701300210 ◽

2007 ◽

Vol 13 (2) ◽

pp. 185-189 ◽

Cited By ~ 1

Author(s):

G.F. Xu ◽

D.C. Suh ◽

H.W. Pyun ◽

H. Yoo ◽

S.W. Lee ◽

...

Keyword(s):

Endovascular Treatment ◽

Vertebral Artery ◽

Internal Jugular Vein ◽

Subclavian Artery ◽

Jugular Vein ◽

Central Venous Access ◽

Venous Access ◽

Covered Stent ◽

Central Venous ◽

Artery Pseudoaneurysm

Formation of an iatrogenic subclavian artery pseudoaneurysm while attempting central venous access through the internal jugular vein is relatively uncommon. However, management of a subclavian artery pseudoaneurysm remains a challenge because of its growing tendency and its relation to the origin of the vertebral artery (VA). We report a strategy for using a covered stent as for the endovascular treatment of a patient with a repeatedly regrowing subclavian artery pseudoaneurysm at the origin of the VA.

Download Full-text

Endovascular repair of subclavian/axillary artery injury with a covered stent. A case report and review of literature

Vascular ◽

10.1177/1708538113478754 ◽

2013 ◽

Vol 21 (6) ◽

pp. 400-404 ◽

Cited By ~ 4

Author(s):

Albeir Mousa ◽

Benny Chong ◽

Ali F AbuRahma

Keyword(s):

Upper Extremity ◽

Endovascular Repair ◽

Axillary Artery ◽

Standard Of Care ◽

Covered Stent ◽

Artery Pseudoaneurysm ◽

Complete Exclusion ◽

Computed Tomography Angiogram ◽

Endovascular Approach ◽

The Right

Experience with and acceptance of endovascular repair of arch vessel injuries continues to increase. This manuscript reports the case of a 65-year-oldman with a gunshot wound to the right supraclavicular area with a hematoma, pulsating mass and loss of neurological function of the right upper extremity. As he was hemodynamically stable, a computed tomography angiogram was performed and it demonstrated a 6 cm right subclavian/axillary artery pseudoaneurysm. The patient was taken to the angiogram/hybrid room and an arch angiogram was performed. A selective right subclavian angiogram was performed and a covered stent was deployed across the pseudoaneurysm and a completion angiogram showed complete exclusion with normal runoff to the upper extremity. In conclusion, penetrating subclavian/axillary artery trauma can be successfully managed with minimal morbidity via early utilization of endovascular covered stent therapy. A literature review suggests that the endovascular approach will soon be the standard of care for traumatic disruption of subclavian arteries.

Download Full-text

Pulmonary Artery Pseudoaneurysm with Recurrent Massive Haemoptysis: Endovascular Management by a Covered Stent

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0041-1730105 ◽

2021 ◽

Author(s):

Naseer A. Choh ◽

Saika Amreen ◽

Mudasir Hamid ◽

Imran Nazir

Keyword(s):

Pulmonary Artery ◽

Covered Stent ◽

Endovascular Management ◽

Artery Pseudoaneurysm ◽

Low Resource ◽

Resource Setting ◽

Low Resource Setting ◽

Massive Haemoptysis ◽

Endovascular Approach ◽

Pulmonary Artery Pseudoaneurysm

AbstractPulmonary artery pseudoaneurysm (PAPA) is a potentially fatal, albeit rare cause of hemoptysis. With a varied etiology and debatable management, time is the essence in its treatment. We present a case of a post lobectomy PAPA with recurrence of malignancy, managed via endovascular approach in a low resource setting where an ideal hardware was not available.

Download Full-text

A Challenging Problem

Interventional Neuroradiology ◽

10.1177/159101990601200213 ◽

2006 ◽

Vol 12 (2) ◽

pp. 171-175 ◽

Cited By ~ 4

Author(s):

A. Kurt ◽

A. Tanrivermiş ◽

A. İpek ◽

Ö. Tosun ◽

M. Gümüş ◽

...

Keyword(s):

Vertebral Artery ◽

Arteriovenous Fistula ◽

Jugular Vein ◽

Penetrating Trauma ◽

Covered Stent ◽

Left Vertebral Artery ◽

Conventional Angiography ◽

Pseudoaneurysm Formation ◽

Arteriovenous Fistulas ◽

Pulsatile Mass

Vertebral pseudoaneurysm and arteriovenous fistulas are very rare and are commonly due to penetrating trauma to craniocervical region. A 20-year-old man was presented with progressive swelling and pulsatile mass on the left side of his face. He had been stabbed two weeks ago on the left side of his face. Doppler Ultrasound revealed large left vertebral pseudoaneursym and arteriovenous fistulisation with the ipsilateral internal jugulat vein. MR Angiography and conventional angiography confirmed arteriovenous fistula between left vertebral artery and ipsilateral internal jugular vein and large pseudoaneurysm formation on vertebral artery. Arteriovenous fistula was closed surgically and embolized with surgicell. But the pseudoaneurysm was treated with endovascular covered stent placement.

Download Full-text

Extracranial Vertebral Artery Pseudoaneurysm Due to Paraspinal Abscess Drainage: Endovascular Management

Rivista di Neuroradiologia ◽

10.1177/197140090001300214 ◽

2000 ◽

Vol 13 (2) ◽

pp. 249-253

Author(s):

U. Limaye ◽

W. Siddhartha ◽

M. Shrivastava ◽

H. Parmar

Keyword(s):

Vertebral Artery ◽

Unusual Case ◽

Left Vertebral Artery ◽

Endovascular Management ◽

Abscess Drainage ◽

Artery Pseudoaneurysm ◽

Associated Symptoms ◽

Extracranial Vertebral Artery ◽

Paraspinal Abscess

An unusual case of vertebral artery pseudoaneurysm is presented. The patient was a young girl with tuberculosis of the cervical spine and paraspinal abscess. She developed a localised swelling in the left side of the neck following percutaneous drainage of the abscess. An angiogram showed a pseudoaneurysm of the left vertebral artery. Test occlusion and trapping of the aneurysm with coils was performed. Following the trapping the mass and the associated symptoms resolved without the need for direct repair. The salient features of our case and the role of endovascular management are briefly discussed.

Download Full-text

Pseudoaneurysm of the left internal carotid artery following tonsillectomy

VASA ◽

10.1024/0301-1526/a000153 ◽

2011 ◽

Vol 40 (6) ◽

pp. 491-494 ◽

Cited By ~ 4

Author(s):

Vávrová ◽

Slezácek ◽

Vávra ◽

Karlová ◽

Procházka

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Rare Complication ◽

Left Internal Carotid Artery ◽

Acute Tonsillitis ◽

Artery Pseudoaneurysm ◽

Complete Occlusion ◽

Endovascular Approach ◽

Deep Neck Infections

Internal carotid artery pseudoaneurysm is a rare complication of deep neck infections. The authors report the case of a 17-year-old male who presented to the Department of Otorhinolaryngology with an acute tonsillitis requiring tonsillectomy. Four weeks after the surgery the patient was readmitted because of progressive swallowing, trismus, and worsening headache. Computed tomography revealed a pseudoaneurysm of the left internal carotid artery in the extracranial segment. A bare Wallstent was implanted primarily and a complete occlusion of the pseudoaneurysm was achieved. The endovascular approach is a quick and safe method for the treatment of a pseudoaneurysm of the internal carotid artery.

Download Full-text