Endovascular Management of Penetrating Vertebral Artery Injuries

Albuquerque, Felipe C.; Javedan, Sam; McDougall, Cameron G.

doi:10.1097/00005373-200209000-00032

Cited by 35 publications

(30 citation statements)

References 10 publications

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“…1,2,5,6,9 Prior to the advent and refinement of endovascular techniques, open surgical treatment was the only option available for such lesions. Typically limited to surgical wrapping or ligation of the parent vessel, open surgery of the extracranial VA is often made more difficult by its location adjacent to osseous structures, including its course within the transverse foramina.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,5,6,9 These abnormalities may clinically manifest in a variety of ways, with a subsequent variety of potential treatment options. We present the case of a patient who, several months after being shot in the cervical spine, presented with signs and symptoms of a stroke ultimately leading to the diagnosis of a high-flow VVF.…”

Section: Neurosurg Focus 26 (3):e5 2009mentioning

confidence: 99%

“…1,2,9 Injuries to the VA represent only a small proportion of these extracranial arterial injuries.2 When the VA is injured as a result of penetrating trauma, it may result in a number of vascular abnormalities, including AVFs, transections, or pseudoaneurysms. 1,2,5,6,9 These abnormalities may clinically manifest in a variety of ways, with a subsequent variety of potential treatment options.…”

mentioning

confidence: 99%

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Traumatic high flow vertebral-venous fistula presenting with delayed ischemic stroke: endovascular management with detachable coils and Amplatzer Vascular Plugs

Crowley¹,

Medel²,

Dumont

2009

FOC

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Penetrating injuries to the neck can result in a number of abnormalities that are of interest to neurosurgeons and interventional neuroradiologists. Gunshot or stab wounds may cause damage to the cervical spinal cord, the adjacent osseous and ligamentous structures, and the peripheral or cranial nerves. In addition, a significant percentage of penetrating wounds to this location result in vascular injury. These may present insidiously or acutely and with a variety of symptoms. The authors present the case of a patient in whom an occipital lobe infarction developed roughly 2 months after the patient was struck in the neck by a bullet. He was found to have a complete transection of the left vertebral artery, with an associated vertebral-venous fistula. The fistula was eventually treated endovascularly with a combination of platinum coils and Amplatzer Vascular Plugs. The management is discussed, with specific emphasis on the technical aspects of the case.

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Section: Discussionmentioning

confidence: 99%

Section: Neurosurg Focus 26 (3):e5 2009mentioning

confidence: 99%

mentioning

confidence: 99%

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Traumatic high flow vertebral-venous fistula presenting with delayed ischemic stroke: endovascular management with detachable coils and Amplatzer Vascular Plugs

Crowley¹,

Medel²,

Dumont

2009

FOC

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“…2. Mortality is higher but stroke rates are lower with penetrating neck injuries compared to blunt injury (c) A number of series have reported favourable results with endovascular management [294][295][296] ( Fig. 18.3 ).…”

mentioning

confidence: 99%

Extracranial Cerebrovascular Occlusive Disease

Harrigan¹,

Deveikis²

2012

Handbook of Cerebrovascular Disease and Neurointerventional Technique

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“…There are many reports of stents with or without grafts treating vertebral and carotid arterial aneurysms and fistulae resulting from neck injuries. 1,5 Although the application of endovascular procedures in the area of trauma management remains largely in an early phase of development and evaluation, the promise of minimally invasive repair is appealing and has already generated much popularity. In principle, several aspects of vascular trauma are predisposed to superiority of endovascular repair.…”

mentioning

confidence: 99%