Endovascular treatment of a symptomatic vertebral artery pseudoaneurysm

Annals of Vascular Surgery
Gabriel Cristian Inaraja PérezPablo Cabezudo García

Abstract

A 35-year-old patient was brought to the emergency department referring dysarthria, left ear tinnitus for 5 min, and short-lasting blindness, with headache in the 45 min before the clinical presentation. In the magnetic resonance imaging, an acute-subacute lesion in the cerebellum right-anterior lobe (in the territory of the cerebellum anterior artery) and a dilatation near the ostium of the right vertebral artery were seen. For a better assessment, an Angio-CT was done, showing a 9-mm saccular pseudoaneurysm of the right vertebral artery close to the origin of the vessel, without being able to determine if it had been caused because of a dissection. The rest of the study (cerebral vessels and supra-aortic vessels) showed no disorders. He was operated under local anesthesia and sedation a week after the onset of the symptoms. Through a 0.014 wire, a Biotronik PK Papyrus balloon-expandable covered cobalt-chromium stent was deployed covering the hole in the artery. Antiplatelet drugs were prescribed, and the patient was discharged 24 hr after surgery. He has remained symptom free since then.

References

Mar 1, 1996·Journal of Computer Assisted Tomography·J M ProvenzaleD Gress
Jan 24, 2012·Clinical Neurology and Neurosurgery·Shah-Naz Hayat KhanAndrew Joel Ringer
Aug 31, 2012·The Neurologist·Rebecca F GottesmanDavid E Newman-Toker
Feb 14, 2013·Primary Care·Maxim MokinElad I Levy
Mar 6, 2013·Angiology·Zhenxian YanZhijian Wang

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Citations

Jul 19, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·José E CohenEyal Itshayek
Sep 25, 2016·Journal of Neurointerventional Surgery·Karam MoonCameron G McDougall

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