Endovascular treatment of a symptomatic extracranial vertebral artery aneurysm.
Aneurysms of the extracranial vertebral artery are uncommon, with most cases attributed to penetrating head and neck trauma. We report a 29-year-old man with a symptomatic proximal extracranial vertebral artery aneurysm of unclear etiology. This patient's aneurysm was definitively treated after a successful balloon occlusion test of his affected vertebral artery. An endovascular approach was used combining coil embolization of the distal vertebral artery and a covered stent graft in the subclavian. Although aneurysms of this size and location are traditionally repaired with open aneurysmectomy, we show that endovascular approaches can be a safe and effective alternative.
Published In/Presented At
Shang, E. K., Fairman, R. M., Foley, P. J., & Jackson, B. M. (2013). Endovascular treatment of a symptomatic extracranial vertebral artery aneurysm. Journal of vascular surgery, 58(5), 1391–1393. https://doi.org/10.1016/j.jvs.2013.01.040
Medicine and Health Sciences
Department of Medicine, Cardiology Division