Han Wu1, Mingyi Wang1, Ke Li1, Feng Wang2. 1. Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University, Dalian, China. 2. Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University, Dalian, China. Electronic address: wangfengdlyk@163.com.
Abstract
BACKGROUND: Aneurysms of the extracranial vertebral artery are rare, and the treatment options are not standardized. We present a case of an extracranial vertebral artery aneurysm treated with flow diversion. CASE DESCRIPTION: In a 72-year-old woman, computed tomography angiography demonstrated a right extracranial vertebral artery aneurysm. The saccular aneurysm (7.9 × 6.6 mm) was demonstrated on digital subtraction angiography at the V3 segment of the right vertebral artery. A Pipeline embolization device was placed in the diseased parent artery. The patency of the Pipeline embolization device was confirmed at 12-month follow-up. CONCLUSIONS: Flow diversion is a simple and promising treatment option for a V3 segment aneurysm. Postoperative asymptomatic partial in-stent stenosis is tolerable.
BACKGROUND:Aneurysms of the extracranial vertebral artery are rare, and the treatment options are not standardized. We present a case of an extracranial vertebral artery aneurysm treated with flow diversion. CASE DESCRIPTION: In a 72-year-old woman, computed tomography angiography demonstrated a right extracranial vertebral artery aneurysm. The saccular aneurysm (7.9 × 6.6 mm) was demonstrated on digital subtraction angiography at the V3 segment of the right vertebral artery. A Pipeline embolization device was placed in the diseased parent artery. The patency of the Pipeline embolization device was confirmed at 12-month follow-up. CONCLUSIONS: Flow diversion is a simple and promising treatment option for a V3 segment aneurysm. Postoperative asymptomatic partial in-stent stenosis is tolerable.
Authors: Sibylle Wilfling; Mustafa Kilic; Blagovesta Tsoneva; Martin Freyer; David Olmes; Christina Wendl; Ralf A Linker; Felix Schlachetzki Journal: Brain Circ Date: 2022-03-21