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Case Reports
. 2020 Sep 29;6(2):20190051.
doi: 10.1259/bjrcr.20190051. eCollection 2020 Sep.

Iatrogenic left vertebral artery pseudoaneurysm treated with a covered stent

Miguel Ángel Carrillo-Martínez  1 , German Alfonso Garza García  2 , Juan Manuel Leal Jacinto  1   2
Affiliations
Case Reports

Iatrogenic left vertebral artery pseudoaneurysm treated with a covered stent

Miguel Ángel Carrillo-Martínez et al. BJR Case Rep. .

Abstract

Vertebral artery pseudoaneurysm usually occurs after major trauma, but it can arise spontaneously after trivial injury. Clinical manifestations are often related to alterations in the posterior brain circulation. CT and angiography are usually the diagnostic methods of choice. We present a case of a pseudoaneurysm of the left vertebral artery caused by a lesion during a cervical spine surgery and treated with endovascular approach with a covered stent.

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Figures

Figure 1.
Figure 1.
Left vertebral artery pseudoaneurysm. (a) Left vertebral artery angiography showing pseudoaneurysm in the V2 section between C5 and C6 (arrow). (b) Image showing a stent covered with ePTFE (arrow) before being deployed at C4–C5 level.
Figure 2.
Figure 2.
Left vertebral artery with stent. Left vertebral artery angiography after balloon expandable covered stent placement at C4–C5.
Figure 3.
Figure 3.
Left vertebral artery ultrasound. Doppler ultrasound performed during the 1-month follow-up visit. Ultrasound Doppler shows the implanted stent and normal flow inside.
See this image and copyright information in PMC

References

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