Embolization of an Intracranial Vertebral Artery Aneurysm via the Deep Cervical Artery

Author:

Schulz Katharina1ORCID,Grieb Dominik,Boxberg Frederik1,Blaeser Klaus2,Scholz Martin2,Schlunz-Hendann Martin1

Affiliation:

1. Department of Radiology and Neuroradiology, Sana Kliniken Duisburg GmbH Klinik für Radiologie und Neuroradiologie, Duisburg, Germany

2. Department of Neurosurgery, Sana Kliniken Duisburg GmbH, Duisburg, Nordrhein-Westfalen, Germany

Abstract

AbstractTreatment 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.

Publisher

Georg Thieme Verlag KG

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