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

被引:10
作者
Dolati, Parviz [1 ]
Eichberg, Daniel G. [2 ]
Thomas, Ajith [2 ]
Ogilvy, Christopher S. [2 ]
机构
[1] Boston Univ, Sch Med, Neurosurg, Boston, MA 02118 USA
[2] Harvard Med Sch, BIDMC, Neurosurg, Boston, MA USA
来源
CUREUS | 2015年 / 7卷 / 10期
关键词
vertebral artery; pipeline embolization device; iatrogenic; pseudoaneurysm; flow diverting stent;
D O I
10.7759/cureus.356
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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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页数:10
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