Successful Hybrid Management of a Left Vertebral Artery Aneurysm Secondary to Type-1 Neurofibromatosis

Successful Repair of a Vasculopathic Aneurysmal Brachial Artery in a Patient with Type 1 Neurofibromatosis

“…2 Some investigators recommend that a NF1 related aneurysm might be better treated by an endovascular approach (including stenting or embolization) or a hybrid procedure, rather than by surgery alone, providing the distal circulation is preserved. 9,14,[16][17][18] However, in our case an endovascular option was not considered because of the extreme tortuosity and fragility of the brachial artery, as any stress on the arterial wall, including the repeated trauma from a wire and stent deployment would have been likely to cause injury.…”

“…Meanwhile, occlusive diseases most frequently affect the renal arteries, abdominal aorta (coarctation) and mesenteric arteries. 3,4,[5][6][7][8] In the context of NF1 other rarer vasculopathies have been reported such as peripheral arterial aneurysms, venous malformations 2 , and extracranial aneurysms of the vertebral arteries 9 .…”

Vertebral artery aneurysm rupture and hemothorax in a patient with neurofibromatosis Type-1: A case report and review of the literature

“…However, extracranial vertebral artery aneurysm in neurofibromatosis type 1 is very rare. Our review of the literature reveals 24 cases of extradural vertebral artery aneurysms in patients with NF-1, 12 of which ruptured and caused hemorrhage [4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24] (Table 1).…”

“…[15]/201231/MRupturedR/C6/NoEndovascular (coil)Radiculopathy, neck pain, cervical hematomaRecovery22Gouaillier-Vulcain F et al. [16]/201432/MUnrupturedL/C8/NoSurgery, endovascular (stent)RadiculopathyRecovery23CY Lin et al. [10]/201718/FRupturedL/proximal/NoEndovascular (coil, stent)Seizures, neck swellingRecovery…”