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

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.

Publikationsverlauf

Eingereicht: 21. Oktober 2023

Angenommen: 20. Dezember 2023

Artikel online veröffentlicht:
12. Februar 2024

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