Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 1/2005

01-01-2005 | CASE REPORT

Endovascular Treatment of a Vertebral Artery Pseudoaneurysm Following Posterior C1–C2 Transarticular Screw Fixation

Authors: Jose C. Méndez, Francisco González-Llanos

Published in: CardioVascular and Interventional Radiology | Issue 1/2005

Login to get access

Abstract

We present a case of vertebral artery pseudoaneurysm after a posterior C1–C2 transarticular screw fixation procedure that was effectively treated with endovascular coil occlusion. Vertebral artery pseudoaneurysm complicating posterior C1–C2 transarticular fixation is extremely rare, with only one previous case having been reported previously. Endovascular occlusion is better achieved in the subacute phase of the pseudoaneurysm, when the wall of the pseudoaneurysm has matured and stabilized. Further follow-up angiographies are mandatory in order to confirm that there is no recurrence of the lesion.
Literature
1.
go back to reference Wright, NM, Lauryssen, C 1998Vertebral artery injury in C1–2 transarticular screw fixation: Results of a survey in the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological SurgeonsJ Neurosurg88634640 Wright, NM, Lauryssen, C 1998Vertebral artery injury in C1–2 transarticular screw fixation: Results of a survey in the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological SurgeonsJ Neurosurg88634640
2.
go back to reference Prabhu, VC, France, JC, Voelker, JL, Zoarski, GH 2001Vertebral artery pseudoaneurysm complicating posterior C1–2 transarticular screw fixation: Case reportSurg Neurol552933 Prabhu, VC, France, JC, Voelker, JL, Zoarski, GH 2001Vertebral artery pseudoaneurysm complicating posterior C1–2 transarticular screw fixation: Case reportSurg Neurol552933
3.
go back to reference Horowitz, MB, Miller, G,III, Meyer, Y, Carstens, G,III, Purdy, P 1996Use of intravascular stents in the treatment of internal carotid and extracranial vertebral artery pseudoaneurysmsAJNR Am J Neuroradiol17693696 Horowitz, MB, Miller, G,III, Meyer, Y, Carstens, G,III, Purdy, P 1996Use of intravascular stents in the treatment of internal carotid and extracranial vertebral artery pseudoaneurysmsAJNR Am J Neuroradiol17693696
4.
go back to reference Islamoglu, F, Posacioglu, H, Memis, A, Durmaz, I 2002Endovascular transcatheter occlusion for traumatic vertebral artery pseudoaneurysmEur J Vasc Endovasc Surg20576578 Islamoglu, F, Posacioglu, H, Memis, A, Durmaz, I 2002Endovascular transcatheter occlusion for traumatic vertebral artery pseudoaneurysmEur J Vasc Endovasc Surg20576578
5.
go back to reference Aoki, H, Mizobe, T, Nozuchi, S, Hatanaka, T, Tanaka, Y 1992Vertebral artery pseudoaneurysm: A rare complication of internal jugular vein catheterizationAnesth Analg75296298 Aoki, H, Mizobe, T, Nozuchi, S, Hatanaka, T, Tanaka, Y 1992Vertebral artery pseudoaneurysm: A rare complication of internal jugular vein catheterizationAnesth Analg75296298
6.
go back to reference Sultan, S, Morasch, M, Colgan, MP, Madhavan, P, Moore, D, Shanik, G 2002Operative and endovascular management of extracranial vertebral artery aneurysm in Ehlers–Danlos syndrome: A clinical dilemma—case report and literature reviewVasc Endovasc Surg36389392 Sultan, S, Morasch, M, Colgan, MP, Madhavan, P, Moore, D, Shanik, G 2002Operative and endovascular management of extracranial vertebral artery aneurysm in Ehlers–Danlos syndrome: A clinical dilemma—case report and literature reviewVasc Endovasc Surg36389392
7.
go back to reference Reid, JD, Weigelt, JA 1988Forty-three cases of vertebral artery traumaJ Trauma2810071012 Reid, JD, Weigelt, JA 1988Forty-three cases of vertebral artery traumaJ Trauma2810071012
8.
go back to reference Lempert, TE, Halbach, VV, Higashida, RT 1998Endovascular treatment of pseudoaneurysms with electrolytically detachable coilsAJNR Am J Neuroradiol19907911 Lempert, TE, Halbach, VV, Higashida, RT 1998Endovascular treatment of pseudoaneurysms with electrolytically detachable coilsAJNR Am J Neuroradiol19907911
9.
go back to reference Halbach, VV, Higashida, RT, Dowd, CF, et al. 1993Endovascular treatment of vertebral artery dissections and pseudoaneurysmsJ Neurosurg79183191 Halbach, VV, Higashida, RT, Dowd, CF,  et al. 1993Endovascular treatment of vertebral artery dissections and pseudoaneurysmsJ Neurosurg79183191
10.
go back to reference Higashida, RT, Halbach, VV, Tsai, FY, et al. 1989Interventional neurovascular treatment of traumatic carotid and vertebral artery lesions: Results of 234 casesAJR Am J Roentgenol153577582 Higashida, RT, Halbach, VV, Tsai, FY,  et al. 1989Interventional neurovascular treatment of traumatic carotid and vertebral artery lesions: Results of 234 casesAJR Am J Roentgenol153577582
11.
go back to reference Yee, LF, Olcott, EW, Knudson, MM, Lim, RC 1995Extraluminal, transluminal and observational treatment for vertebral artery injuriesJ Trauma Inj Infect Crit Care39480486 Yee, LF, Olcott, EW, Knudson, MM, Lim, RC 1995Extraluminal, transluminal and observational treatment for vertebral artery injuriesJ Trauma Inj Infect Crit Care39480486
12.
go back to reference MacKay, CI, Han, PP, Albuquerque, FC, McDougall, CG 2003Recurrence of a vertebral artery dissecting pseudoaneurysm after successful stent-supported coil embolization: Case reportNeurosurgery53754761 MacKay, CI, Han, PP, Albuquerque, FC, McDougall, CG 2003Recurrence of a vertebral artery dissecting pseudoaneurysm after successful stent-supported coil embolization: Case reportNeurosurgery53754761
13.
go back to reference Lanzino, G, Wakhloo, AK, Fessler, RD, Hartney, ML, Guterman, LR, Hopkins, LN 1999Efficacy and current limitations of intravascular stents for intracranial, carotid, vertebral, and basilar artery aneurysmsJ Neurosurg91538546 Lanzino, G, Wakhloo, AK, Fessler, RD, Hartney, ML, Guterman, LR, Hopkins, LN 1999Efficacy and current limitations of intravascular stents for intracranial, carotid, vertebral, and basilar artery aneurysmsJ Neurosurg91538546
Metadata
Title
Endovascular Treatment of a Vertebral Artery Pseudoaneurysm Following Posterior C1–C2 Transarticular Screw Fixation
Authors
Jose C. Méndez
Francisco González-Llanos
Publication date
01-01-2005
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 1/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-4068-4

Other articles of this Issue 1/2005

CardioVascular and Interventional Radiology 1/2005 Go to the issue