J Neurol Surg A Cent Eur Neurosurg
DOI: 10.1055/s-0044-1779473
1
Department of Radiology and Neuroradiology, Sana Kliniken Duisburg GmbH Klinik für Radiologie und Neuroradiologie, Duisburg, Germany
,
Dominik Grieb
1
Department of Radiology and Neuroradiology, Sana Kliniken Duisburg GmbH Klinik für Radiologie und Neuroradiologie, Duisburg, Germany
2
Department of Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover, Niedersachsen, Germany
,
Frederik Boxberg
1
Department of Radiology and Neuroradiology, Sana Kliniken Duisburg GmbH Klinik für Radiologie und Neuroradiologie, Duisburg, Germany
,
Klaus Blaeser
3
Department of Neurosurgery, Sana Kliniken Duisburg GmbH, Duisburg, Nordrhein-Westfalen, Germany
,
Martin Scholz
3
Department of Neurosurgery, Sana Kliniken Duisburg GmbH, Duisburg, Nordrhein-Westfalen, Germany
,
Martin Schlunz-Hendann
1
Department of Radiology and Neuroradiology, Sana Kliniken Duisburg GmbH Klinik für Radiologie und Neuroradiologie, Duisburg, Germany
› Author Affiliations
Funding The author(s) received no financial support for the research, authorship, and/or publication of the article.
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Abstract
Treatment of vertebral artery aneurysms can be challenging due to the unusual vascular anatomy or unfeasibility of traditional endovascular techniques. We describe a novel approach for endovascular treatment of a ruptured intracranial vertebral artery aneurysm with bilateral vertebral artery occlusions and hypoplasia of the posterior communicating arteries. Successful coil embolization was performed using a collateral pathway for microcatheterization via anastomosis between the deep cervical artery and the vertebral artery. This case report highlights a novel alternative endovascular treatment approach for vertebrobasilar aneurysms in case of a poor vascular status with occlusion or lack of traditional endovascular access routes.
Keywords
aneurysm -
embolization -
subarachnoid hemorrhage -
vertebral artery -
endovascular treatment
Ethics Approval Statements
Ethical approval was waived by the local ethics committee in view of the retrospective nature of the study. All the procedures performed were part of the routine care and were in accordance with the 1964 Helsinki Declaration.
Publication History
Received: 21 October 2023
Accepted: 20 December 2023
Article published online:
12 February 2024
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