Endovascular Treatment of a Symptomatic Vertebral Artery Pseudoaneurysm

Pérez, Gabriel Cristian Inaraja; Morata, Alejandro Rodríguez; Ortega, Juan Pedro Reyes; Medialdea, Rafael Gómez; Cabezudo‐García, Pablo

doi:10.1016/j.avsg.2015.01.022

Cited by 12 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the Papyrus stent graft was manufactured for the coronary circulation, 14) its use has also been reported in cervical 9) and visceral arteries with small arterial diameters and tortuous arteries because it has a small profile (goes through 5F distal access catheters) and is flexible. 10) Use of this stent graft in the intracranial circulation has not been reported in the literature previously.…”

Section: Discussionmentioning

confidence: 99%

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out

Altunbulak,

Balci

et al. 2024

J Cerebrovasc Endovasc Neurosurg

View full text Add to dashboard Cite

A 50-year-old male patient with a history of transcranial surgery and subsequent radiotherapy for a pituitary adenoma presented with repetitive pulsatile nasal bleeding. A right cavernous segment pseudoaneurysm was discovered on the angiogram, and the patient failed the balloon occlusion test. A Papyrus (Biotronik, Berlin, Germany) stent graft, which is approved for coronary interventions, was successfully deployed over a coaxial guiding system during the emergent treatment of the false aneurysm. The patient tolerated the procedure well and nasal bleeding did not recur after the procedure. At one-year angiographic follow-up, the stent graft was patent and there was no evidence of recanalization of the false aneurysm.

show abstract

Section: Discussionmentioning

confidence: 99%

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out

Altunbulak,

Balci

et al. 2024

J Cerebrovasc Endovasc Neurosurg

View full text Add to dashboard Cite

show abstract

“…We chose endovascular intervention rather than a surgical approach because open surgery is usually limited to very few specific cases, especially in the vertebral territory because it is deep and surrounded by many nervous structures. 8 , 9 , 10 The patient's retropharyngeal hematoma turned out to be noninvasive and was successfully treated without further neurological complications.…”

Section: Discussionmentioning

confidence: 99%

Vertebral artery ruptures manifesting as hoarseness

Yang

Cheng

et al. 2020

Brazilian Journal of Otorhinolaryngology

View full text Add to dashboard Cite

“…11,12 According to the literature, endovascular treatment offers good results. 4,[13][14][15][16] This option has changed management of these injuries, which previously was often achieved by ligature, to strategies for exclusion of the PA, maintaining the vessel patent. Ambekar et al and Kerolus et al describe using embolization devices such as the Pipeline  (Covidien Vascular Therapies, Mansfield, MA, United States), which divert the flow, preserving vessel patency.…”

Section: Discussionmentioning

confidence: 99%

“…5 Pérez et al used a chrome-cobalt coated balloon-expandable stent (Papyrus PK Biotronik  ) to successfully exclude a vertebral artery PA, maintaining patency of the vessel. 13 In addition to fitting a covered stent, Kwon et al also successfully embolized a PA using coils. 16 Yamamoto et al describe using coils and N-butyl cyanoacrylate, resulting in occlusion of the lesion, but also of the vertebral artery.…”

Section: Discussionmentioning

confidence: 99%

O impacto da tecnologia no tratamento do trauma vascular iatrogênico cervicotorácico: estudo de dois casos com intervalo de três décadas e revisão da literatura

et al. 2018

View full text Add to dashboard Cite

Resumo Complicações relacionadas ao acesso venoso cervicotorácico, como os pseudoaneurismas (PAs), podem ser devastadoras. Neste artigo, apresentamos dois casos semelhantes em que o avanço tecnológico impactou no diagnóstico, tratamento e resultados. Ambos pacientes apresentaram volumoso PA após a tentativa de punção venosa profunda. O primeiro caso, em 1993, diagnosticado por duplex scan, revelou grande PA oriundo da artéria subclávia direita. A artéria foi abordada por esternotomia mediana com extensão supraclavicular. O PA originava-se do tronco tireocervical, tratado com simples ligadura. No segundo caso, em 2017, angiotomografia revelou um PA originário da artéria vertebral, que foi tratado com técnica endovascular, mantendo a perviedade do vaso. Ambos evoluíram satisfatoriamente, apesar de abordagens bastante diferentes. A lesão vascular cervicotorácica representa um desafio propedêutico e terapêutico, com alto risco de ruptura. Os avanços tecnológicos diminuem os riscos de lesões vasculares com acesso cirúrgico difícil e devem estar entre as opções do cirurgião vascular.

show abstract

Endovascular Treatment of a Symptomatic Vertebral Artery Pseudoaneurysm

Cited by 12 publications

References 9 publications

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out

Vertebral artery ruptures manifesting as hoarseness

O impacto da tecnologia no tratamento do trauma vascular iatrogênico cervicotorácico: estudo de dois casos com intervalo de três décadas e revisão da literatura

Contact Info

Product

Resources

About