Endovascular coiling of right vertebral artery saccular aneurysm at non-branching site: A potential and safe treatment option

Autor: Marco E. Ariza-Garcia, Francisco Pérez-Pinto, Mariana Agudelo-Arrieta, Alberto F. Caballero-Restrepo, William Mauricio Riveros-Castillo
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 25, Iss , Pp 101148- (2021)
Druh dokumentu: article
ISSN: 2214-7519
16443845
DOI: 10.1016/j.inat.2021.101148
Popis: We report the case of a woman in her 50 s who was admitted to the emergency room with a focal neurological deficit and thunderclap headache; computed tomography evidenced subarachnoid hemorrhage. An external ventricular drain (EVD) was placed before coiling a saccular aneurysm at the 4th segment of the right vertebral artery at the non-branching site, diagnosed with cerebral angiography. The patient's clinical conditions improved and she was discharged home with excellent functional status. Aneurysms of the non-branching vertebral artery are rare lesions associated with high morbidity and mortality. Endovascular treatment (EVT) has become an increasingly popular approach for these lesions as a potential and safe treatment option for ruptured VA saccular aneurysms, especially in the context of a patient with a poor initial neurological condition, diminishing the higher rates of morbidity and mortality linked to the complex technique of the surgical approach to the posterior fossa.
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