Stenting Combined with Coil Embolization of a Dissecting Aneurysm after Traumatic Vertebral Artery Injury

Nagatsuki Tomura; Natsuki Kobayashi; Shigeo Matsunaga; Takashi Shuto; Osamu Masuo

doi:10.5797/jnet.cr.2019-0040

Stenting Combined with Coil Embolization of a Dissecting Aneurysm after Traumatic Vertebral Artery Injury

J Neuroendovasc Ther. 2020;14(2):56-61. doi: 10.5797/jnet.cr.2019-0040. Epub 2020 Jan 8.

Authors

Nagatsuki Tomura¹, Natsuki Kobayashi², Shigeo Matsunaga², Takashi Shuto², Osamu Masuo³

Affiliations

¹ Department of Neuroendovascular Therapy, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan.
² Department of Neurosurgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan.
³ Department of Neuroendovascular Therapy, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.

Abstract

Objective: We report a case of dissecting aneurysm developed after traumatic vertebral artery dissection (VAD) treated by stenting combined with coil embolization.

Case presentation: A 47-year-old man was injured in a fall and presented with left VAD associated with central spinal injury due to C2 fracture. One week after admission, magnetic resonance imaging (MRI) demonstrated contralateral VAD with a dissecting aneurysm. Due to bilateral VAD, we employed coil embolization and stenting for the dissecting aneurysm to prevent rupture and embolic events, and to maintain the patency of the dominant right VA. There were no complications during the perioperative period. The follow-up angiogram 6 months after embolization confirmed obliteration of the dissecting aneurysm and patency of the parent artery.

Conclusion: Stenting combined with coil embolization is an effective treatment for traumatic VAD with a dissecting aneurysm.

Keywords: coil embolization; pseudoaneurysm; stenting; traumatic dissection; vertebral artery.

Publication types

Case Reports