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Erschienen in: Neuroradiology 4/2005

01.04.2005 | Interventional Neuroradiology

Life-threatening bleeding from a vertebral artery pseudoaneurysm after anterior cervical spine approach: endovascular repair by a triple stent-in-stent method. Case report

verfasst von: Meritxell Garcia Alzamora, Steffen K. Rosahl, Jens Lehmberg, Joachim Klisch

Erschienen in: Neuroradiology | Ausgabe 4/2005

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Abstract

The incidence of injury to the cervical vertebral artery during surgery for stenosis of the cervical neuroforamina is very low. We present a case in which bleeding during microforaminotomy at the level C6/7 occurred. The bleeding could be controlled intraoperatively. Two days later, a life-threatening cervical hematoma required urgent bedside evacuation. A false aneurysm of the left cervical vertebral artery was successfully occluded by a modified triple stent-in-stent technique, maintaining the flow in the vessel.
Literatur
1.
Zurück zum Zitat Lu J, Ebraheim NA, Georgiadis GM, Yang H, Yeasting RA (1998) Anatomic considerations of the vertebral artery: implications for anterior decompression of the cervical spine. J Spinal Disord 11:233–236 Lu J, Ebraheim NA, Georgiadis GM, Yang H, Yeasting RA (1998) Anatomic considerations of the vertebral artery: implications for anterior decompression of the cervical spine. J Spinal Disord 11:233–236
2.
Zurück zum Zitat Daentzer D, Deinsberger W, Boker DK (2003) Vertebral artery complications in anterior approaches to the cervical spine: report of two cases and review of literature. Surg Neurol 59:300–309, discussion 309 Daentzer D, Deinsberger W, Boker DK (2003) Vertebral artery complications in anterior approaches to the cervical spine: report of two cases and review of literature. Surg Neurol 59:300–309, discussion 309
3.
Zurück zum Zitat Diaz-Daza O, Arraiza FJ, Barkley JM, Whigham CJ (2003) Endovascular therapy of traumatic vascular lesions of the head and neck. Cardiovasc Intervent Radiol 26:213–221 Diaz-Daza O, Arraiza FJ, Barkley JM, Whigham CJ (2003) Endovascular therapy of traumatic vascular lesions of the head and neck. Cardiovasc Intervent Radiol 26:213–221
4.
Zurück zum Zitat Redekop G, Marotta T, Weill A (2001) Treatment of traumatic aneurysms and arteriovenous fistulas of the skull base by using endovascular stents. J Neurosurg 95:412–419 Redekop G, Marotta T, Weill A (2001) Treatment of traumatic aneurysms and arteriovenous fistulas of the skull base by using endovascular stents. J Neurosurg 95:412–419
5.
Zurück zum Zitat Ahuja A, Guterman LR, Hopkins LN (1992) Carotid cavernous fistula and false aneurysm of the cavernous carotid artery: complications of transsphenoidal surgery. Neurosurgery 31:774–778 Ahuja A, Guterman LR, Hopkins LN (1992) Carotid cavernous fistula and false aneurysm of the cavernous carotid artery: complications of transsphenoidal surgery. Neurosurgery 31:774–778
6.
Zurück zum Zitat Uhl E, Schmid-Elsaesser R, Steiger HJ (2003) Ruptured intracranial dissecting aneurysms: management considerations with a focus on surgical and endovascular techniques to preserve arterial continuity. Acta Neurochir (Wien) 145:1073–1084 Uhl E, Schmid-Elsaesser R, Steiger HJ (2003) Ruptured intracranial dissecting aneurysms: management considerations with a focus on surgical and endovascular techniques to preserve arterial continuity. Acta Neurochir (Wien) 145:1073–1084
7.
Zurück zum Zitat Rabinov JD, Hellinger FR, Morris PP, Ogilvy CS, Putman CM (2003) Endovascular management of vertebrobasilar dissecting aneurysms. Am J Neuroradiol 24:1421–1428 Rabinov JD, Hellinger FR, Morris PP, Ogilvy CS, Putman CM (2003) Endovascular management of vertebrobasilar dissecting aneurysms. Am J Neuroradiol 24:1421–1428
8.
Zurück zum Zitat Lanzino G, Wakhloo AK, Fessler RD, Hartney ML, Guterman LR, Hopkins LN (1999) Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms. J Neurosurg 91:538–546 Lanzino G, Wakhloo AK, Fessler RD, Hartney ML, Guterman LR, Hopkins LN (1999) Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms. J Neurosurg 91:538–546
9.
Zurück zum Zitat Lylyk P, Cohen JE, Ceratto R, Ferrario A, Miranda C (2004) Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. J Neurosurg 94:427–432 Lylyk P, Cohen JE, Ceratto R, Ferrario A, Miranda C (2004) Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. J Neurosurg 94:427–432
10.
Zurück zum Zitat Doerfler A, Wanke I, Egelhof T, Stolke D, Forsting M (2004) Double-stent method: therapeutic alternative for small wide-necked aneurysms. J Neurosurg 100:150–154 Doerfler A, Wanke I, Egelhof T, Stolke D, Forsting M (2004) Double-stent method: therapeutic alternative for small wide-necked aneurysms. J Neurosurg 100:150–154
11.
Zurück zum Zitat Mehta B, Burke T, Kole M, Bydon A, Seyfried D, Malik G (2003) Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms. Am J Neuroradiol 24:1814–1818 Mehta B, Burke T, Kole M, Bydon A, Seyfried D, Malik G (2003) Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms. Am J Neuroradiol 24:1814–1818
12.
Zurück zum Zitat Escaned J, Hernandez R, Baquero M, Goicolea J, Alfonso F, Fernandez-Ortiz A, Banuelos C, Macaya C (1999) Double stenting as a treatment for stent collapse in the left main coronary artery. J Invasive Cardiol 11:305–308 Escaned J, Hernandez R, Baquero M, Goicolea J, Alfonso F, Fernandez-Ortiz A, Banuelos C, Macaya C (1999) Double stenting as a treatment for stent collapse in the left main coronary artery. J Invasive Cardiol 11:305–308
Metadaten
Titel
Life-threatening bleeding from a vertebral artery pseudoaneurysm after anterior cervical spine approach: endovascular repair by a triple stent-in-stent method. Case report
verfasst von
Meritxell Garcia Alzamora
Steffen K. Rosahl
Jens Lehmberg
Joachim Klisch
Publikationsdatum
01.04.2005
Erschienen in
Neuroradiology / Ausgabe 4/2005
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-005-1343-2

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