Stent-assisted coiling of a ruptured vertebrobasilar junction aneurysm via direct vertebral artery puncture.

Dobrocky, Tomas; Beck, Jürgen; Gralla, Jan; Mordasini, Pasquale (2017). Stent-assisted coiling of a ruptured vertebrobasilar junction aneurysm via direct vertebral artery puncture. BMJ case reports, 2017 BMJ Publishing Group 10.1136/bcr-2017-013099

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A 78-year-old patient was admitted with subarachnoid hemorrhage caused by rupture of a broad-based vertebrobasilar junction aneurysm. Direct endovascular access to the vertebrobasilar circulation was not possible due to chronic occlusion of the proximal dominant left vertebral artery (VA), hypoplastic right VA and posterior communicating arteries. The distal cervical left VA was reconstituted by muscular branches of the ascending cervical artery. Therefore, endovascular access was gained by direct percutaneous VA puncture guided by a roadmap-controlled anterior approach at the level of C5 proximally to the main reconstituting collateral feeders. Successful endovascular treatment of the aneurysm was performed by stent-assisted coiling. Closure of the puncture site at the cervical VA level was achieved by occluding the proximal part of the VA with coils. The post-interventional clinical course was uneventful; early post-interventional CT showed no evidence of cervical hematoma.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Dobrocky, Tomas; Beck, Jürgen; Gralla, Jan and Mordasini, Pasquale

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1757-790X

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

25 Oct 2017 08:58

Last Modified:

25 Oct 2017 08:58

Publisher DOI:

10.1136/bcr-2017-013099

PubMed ID:

28963098

Uncontrolled Keywords:

Aneurysm Intervention Navigation Technique

URI:

https://boris.unibe.ch/id/eprint/105918

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