Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device
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 a...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/341748 |
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| author | Sudheer Ambekar Mayur Sharma Donald Smith Hugo Cuellar |
| author_facet | Sudheer Ambekar Mayur Sharma Donald Smith Hugo Cuellar |
| author_sort | Sudheer Ambekar |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-810ee8d0d72d4f34a09f26e788e5f5b0 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-810ee8d0d72d4f34a09f26e788e5f5b02025-02-03T05:53:40ZengWileyCase Reports in Vascular Medicine2090-69862090-69942014-01-01201410.1155/2014/341748341748Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization DeviceSudheer Ambekar0Mayur Sharma1Donald Smith2Hugo Cuellar3Department of Neurosurgery, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USACenter of Neuromodulation, Wexner Medical Center, The Ohio State University, Columbus, OH 43210, USADepartment of Neurosurgery, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USADepartment of Neurosurgery, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71103, USATraumatic 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.http://dx.doi.org/10.1155/2014/341748 |
| spellingShingle | Sudheer Ambekar Mayur Sharma Donald Smith Hugo Cuellar Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device Case Reports in Vascular Medicine |
| title | Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device |
| title_full | Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device |
| title_fullStr | Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device |
| title_full_unstemmed | Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device |
| title_short | Successful Treatment of Iatrogenic Vertebral Pseudoaneurysm Using Pipeline Embolization Device |
| title_sort | successful treatment of iatrogenic vertebral pseudoaneurysm using pipeline embolization device |
| url | http://dx.doi.org/10.1155/2014/341748 |
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