Korean J Radiol.  2008 Jul;9(Suppl):S68-S72. 10.3348/kjr.2008.9.s.s68.

Endovascular Stent-Graft Treatment of a Traumatic Vertebral Artery Pseudoaneurysm and Vertebrojugular Fistula

• Sancak T
• Bilgic S
• Ustuner E

• KMID: 1100109
• DOI: http://doi.org/10.3348/kjr.2008.9.s.s68

Abstract

An endovascular intervention is a feasible alternative to the technically challenging conventional surgery for the treatment of traumatic vertebral arterial lesions. This report describes a rare case involving a 22-year-old patient with a traumatic vertebral arterial pseudoaneurysm and multiple arteriovenous fistulas which were successfully sealed using the endovascular stent-graft technique.

Keyword

Pseudoaneurysm; Arteriovenous fistula, vertebral artery, stent graft

MeSH Terms

Adult
Aneurysm, False/etiology/radiography/*therapy
Angiography
Arteriovenous Fistula/etiology/radiography/*therapy
Humans
*Jugular Veins/radiography
Male
Stents
Vertebral Artery/*injuries/radiography

Figure

• 

  Fig. 1 Endovascular stent-graft treatment in 22-year-old man. A. Left vertebral arterial injection revealing early filling of pseudoaneurysm (arrow) and opacification of vertebrojugular fistulas (star). B. Late phase of left vertebral angiography. Pseudoaneurysm (arrow) and arteriovenous fistulas (double arrows) are more visible compared to left vertebral arterial injection. C. Complete sealing of pseudoaneurysm and arteriovenous fistulas after deployment of stent greft into left vertebral artery. D. Stenosis of left vertebral artery was noted on follow-up angiogram (arrow). Tip of catheter was in left subclavian artery (arrowhead). E. After treatment of stenosis by angioplasty, complete recanalisation of lumen was noted on angiogram.

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