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Case Reports
. 2025 Feb 19;17(2):e79271.
doi: 10.7759/cureus.79271. eCollection 2025 Feb.

Endovascular Treatment of Traumatic Vertebral Artery Pseudoaneurysm

Noora Aljalahma  1 , Fatema Husain  2 , Amr Ashour  3 , Martin Maresch  3
Affiliations
Case Reports

Endovascular Treatment of Traumatic Vertebral Artery Pseudoaneurysm

Noora Aljalahma et al. Cureus. .

Abstract

Vertebral artery pseudoaneurysm usually occurs following penetrating trauma and is associated with a high mortality rate. Computed tomographic angiography (CTA) is usually the diagnostic method of choice. We present a case of pseudoaneurysm of the left vertebral artery caused by a stab wound to the left neck, which was treated with an endovascular approach with a covered stent.

Keywords: angiogram; computed tomography; covered stent; pseudoaneurysm; stab wound; vertebral artery.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Institutional Review Board of Royal Medical Services - Military Hospital (RMS-MH/IRB) issued approval 2024-820. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Preoperative computed tomographic angiography (coronal cut) demonstrating extravasation from the first segment of the left vertebral artery with pseudoaneurysm formation (arrow)
CTA: computed tomography angiography
Figure 2
Figure 2. Intraoperative arteriogram demonstrating pseudoaneurysm from the first segment of the vertebral artery (arrow)
Figure 3
Figure 3. Intraoperative arteriogram showing pseudoaneurysm from the first segment of the vertebral artery (arrow)
Figure 4
Figure 4. Arterial ultrasound duplex showing a patent vertebral artery stent
Figure 5
Figure 5. Computed tomography angiographic of the head, neck, and brain showing the patent stent in the left vertebral artery (arrow)
See this image and copyright information in PMC

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