Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature

Traumatic pseudoaneurysms of the vertebral artery (VA) are uncommon vascular lesions and definitive management is often challenging. Between 0% and 8% of craniocervical fusions are complicated by VA injury. In these cases, preserving the vertebral artery while treating the pseudoaneurysm is the goal...

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Detalles Bibliográficos
Autores principales: Dolati, Parviz, Eichberg, Daniel G, Thomas, Ajith, Ogilvy, Christopher S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2015
Materias:
Neurosurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658329/
https://www.ncbi.nlm.nih.gov/pubmed/26623211
http://dx.doi.org/10.7759/cureus.356
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author Dolati, Parviz
Eichberg, Daniel G
Thomas, Ajith
Ogilvy, Christopher S
author_facet Dolati, Parviz
Eichberg, Daniel G
Thomas, Ajith
Ogilvy, Christopher S
author_sort Dolati, Parviz
collection PubMed
description Traumatic pseudoaneurysms of the vertebral artery (VA) are uncommon vascular lesions and definitive management is often challenging. Between 0% and 8% of craniocervical fusions are complicated by VA injury. In these cases, preserving the vertebral artery while treating the pseudoaneurysm is the goal of any treatment option. We describe the second known case of a patient with and iatrogenic extracranial vertebral artery pseudoaneurysm treated effectively using the Pipeline Embolization Device (PED) (Ev3 Neurovascular, Irvine, CA). Although there have been only two cases reported, the use of flow-diverting stents appears to be efficacious for the treatment of non-actively bleeding traumatic pseudoaneurysms.
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spelling pubmed-46583292015-11-30 Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature Dolati, Parviz Eichberg, Daniel G Thomas, Ajith Ogilvy, Christopher S Cureus Neurosurgery Traumatic pseudoaneurysms of the vertebral artery (VA) are uncommon vascular lesions and definitive management is often challenging. Between 0% and 8% of craniocervical fusions are complicated by VA injury. In these cases, preserving the vertebral artery while treating the pseudoaneurysm is the goal of any treatment option. We describe the second known case of a patient with and iatrogenic extracranial vertebral artery pseudoaneurysm treated effectively using the Pipeline Embolization Device (PED) (Ev3 Neurovascular, Irvine, CA). Although there have been only two cases reported, the use of flow-diverting stents appears to be efficacious for the treatment of non-actively bleeding traumatic pseudoaneurysms. Cureus 2015-10-19 /pmc/articles/PMC4658329/ /pubmed/26623211 http://dx.doi.org/10.7759/cureus.356 Text en Copyright © 2015, Dolati et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Dolati, Parviz
Eichberg, Daniel G
Thomas, Ajith
Ogilvy, Christopher S
Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title_full Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title_fullStr Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title_full_unstemmed Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title_short Application of Pipeline Embolization Device for Iatrogenic Pseudoaneurysms of the Extracranial Vertebral Artery: A Case Report and Systematic Review of the Literature
title_sort application of pipeline embolization device for iatrogenic pseudoaneurysms of the extracranial vertebral artery: a case report and systematic review of the literature
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658329/
https://www.ncbi.nlm.nih.gov/pubmed/26623211
http://dx.doi.org/10.7759/cureus.356
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