Vertebral endarterectomy combined with endovascular treatment for patients with vertebral artery stenosis and vertebral aneurysm: illustrative case-Reference-Cited by-同舟云学术

Vertebral endarterectomy combined with endovascular treatment for patients with vertebral artery stenosis and vertebral aneurysm: illustrative case

Published:2024-11-04 Issue:19 Volume:8 Page:
ISSN:2694-1902
Container-title:Journal of Neurosurgery: Case Lessons
language:
Short-container-title:J Cosmet Laser Ther

Author:

Yang Fan¹,Li Shilin¹,Chen Yuanbing¹,Xie Jiayi²,Liu Yi¹,Peng Fei³,Chen Xuge³,Xia Jiaxiang³,Xu Boya³,Wang Zhifei¹,Jiang Jiaode¹,Liu Aihua³

Affiliation:

1. Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China

2. Department of Ultrasound, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China

3. Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital University, Beijing, China

Abstract

BACKGROUND Vertebral artery stenosis (VAS) and vertebral aneurysms are serious conditions that can be life-threatening and have a poor prognosis. The co-occurrence of VAS and a vertebral aneurysm is less common and more difficult to treat. OBSERVATIONS The authors report the case of a patient who presented with a rare occurrence of VAS combined with a vertebral aneurysm. The optimal treatment for both VAS and the vertebral aneurysm is intravascular therapy. Since the guidewire was unable to establish an effective channel, vertebral endarterectomy was performed in combination with endovascular treatment. LESSONS A combination of vertebral endarterectomy and endovascular treatment can effectively manage the co-occurrence of VAS and a vertebral aneurysm.

https://thejns.org/doi/10.3171/CASE2475

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Link

https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/8/19/article-CASE2475.xml

Reference16 articles.

1. Embolism from vertebral artery origin occlusive disease;Caplan,1992

2. Vertebro-basilar ischaemia. Its relation to stenosis and occlusion of the vertebral artery;George,1982

3. Incidence and prognosis of ≥ 50% symtomatic vertbral or basilar artery stenosis: prospective population-based study;Marquardt,2009

4. Vertebral artery stenosis;Madonis,2021

5. Clinical experience of 153 patients with posterior circulation aneurysms;Zhao,2005