Treatment of iatrogenic V2 segment vertebral artery pseudoaneurysm using Pipeline flow-diverting stent.

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Treatment of iatrogenic V2 segment vertebral artery pseudoaneurysm using Pipeline flow-diverting stent.

Surg Neurol Int. 2016;7:104

Authors: Shakir HJ, Rooney PJ, Rangel-Castilla L, Yashar P, Levy EI

Abstract
BACKGROUND: Iatrogenic injury to the vertebral artery is a rare but potential complication of cervical spine surgery. Previous authors have commented on the use of flow-diverting stents for treatment of aneurysms of the V3 segment of the vertebral artery.
CASE DESCRIPTION: Here, we report a case in which injury occurred at the V2 segment of the vertebral artery with the development of a pseudoaneurysm, which was found on angiography. After decompressing the spinal cord from an epidural hematoma, the pseudoaneurysm was treated by deploying two Pipeline flow-diverting stents (Medtronic, Minneapolis, MN). Obliteration of the pseudoaneurysm was noted on follow-up angiography 4 days after the treatment.
CONCLUSION: This case highlights a unique treatment at a region which, to our knowledge, has not been mentioned in the literature.

PMID: 28168090 [PubMed - in process]

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