Clinical Neurology and Neurosurgery
Volume 111, Issue 10 , Pages 868-873 , December 2009

Successful endovascular reconstruction of acutely ruptured pseudoaneurysm of the vertebral artery, complicated by isolated vertebrobasilar circulation and symptomatic vasospasm

  • Shah-Naz Hayat Khan

      Affiliations

    • Department of Neurosurgery, University of Cincinnati (UC) Neuroscience Institute, UC College of Medicine, Cincinnati, OH, USA
    • Department of Neurosurgery, Marshfield Clinic, Marshfield, WI, USA
    • Cerebrovascular and Skull Base Surgery Program, Department of Surgery, Division of Neurosurgery, St. Louis University, School of Medicine, 3635 Vista Avenue at Grand Boulevard, St. Louis, MO 63110-0250, USA
    • Corresponding Author InformationCorresponding author at: St. Louis University, School of Medicine, Cerebrovascular and Skull Base Surgery Program, Department of Surgery, Division of Neurosurgery, 3635 Vista Avenue at Grand Boulevard, St. Louis, Mo 63110-0250, USA. Tel.: +1 314 577 8715; fax: +1 314 268 5061.
    • ,
  • Todd A. Abruzzo

      Affiliations

    • Department of Neuroradiology, University of Cincinnati (UC) Neuroscience Institute, UC College of Medicine and Mayfield Clinic, Cincinnati, OH, USA
    • ,
  • Andrew J. Ringer

      Affiliations

    • Department of Neuroradiology, University of Cincinnati (UC) Neuroscience Institute, UC College of Medicine and Mayfield Clinic, Cincinnati, OH, USA
    • Department of Neurosurgery, University of Cincinnati (UC) Neuroscience Institute, UC College of Medicine and Mayfield Clinic, Cincinnati, OH, USA

Received 23 December 2008 ,Revised 2 July 2009 ,Accepted 4 July 2009.

References 

  1. Aoki N, Sakai T. Rebleeding from intracranial dissecting aneurysm in the vertebral artery. Stroke. 1990;21:1628–1631
  2. Fisher CM, Ojemann RG, Roberson GH. Spontaneous dissection of cervico-cerebral arteries. Can J Neurol Sci. 1978;5:9–19
  3. Kitanaka C, Sasaki T, Eguchi T, Teraoka A, Nakane M, Hoya K. Intracranial vertebral artery dissections: clinical, radiological features, and surgical considerations. Neurosurgery. 1994;34:620–626
  4. Mizutani T, Aruga T, Kirino T, Miki Y, Saito I, Tsuchida T. Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms. Neurosurgery. 1995;36:905–911
  5. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;344:898–906
  6. Youl BD, Coutellier A, Dubois B, Leger JM, Bousser MG. Three cases of spontaneous extracranial vertebral artery dissection. Stroke. 1990;21:618–625
  7. Halbach VV, Higashida RT, Dowd CF, Fraser KW, Smith TP, Teitelbaum GP, et al. Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg. 1993;79:183–191
  8. Kurata A, Ohmomo T, Miyasaka Y, Fujii K, Kan S, Kitahara T. Coil embolization for the treatment of ruptured dissecting vertebral aneurysms. AJNR Am J Neuroradiol. 2001;22:11–18
  9. Manabe H, Hatayama T, Hasegawa S, Islam SM, Suzuki S. Coil embolisation for ruptured vertebral artery dissection distal to the origin of the posterior inferior cerebellar artery. Neuroradiology. 2000;42:384–387
  10. Yamaura I, Tani E, Yokota M, Nakano A, Fukami M, Kaba K, et al. Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils. J Neurosurg. 1999;90:853–856
  11. Yonas H, Agamanolis D, Takaoka Y, White RJ. Dissecting intracranial aneurysms. Surg Neurol. 1977;8:407–415
  12. Ahn JY, Chung SS, Lee BH, Kim SH, Yoon PH, Joo JY, et al. Treatment of spontaneous arterial dissections with stent placement for preservation of the parent artery. Acta Neurochir (Wien). 2005;147:265–273
  13. Benitez RP, Silva MT, Klem J, Veznedaroglu E, Rosenwasser RH. Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils. Neurosurgery. 2004;54:1359–1367
  14. Lanzino G, Wakhloo AK, Fessler RD, Hartney ML, Guterman LR, Hopkins LN. Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms. J Neurosurg. 1999;91:538–546
  15. Lylyk P, Cohen JE, Ceratto R, Ferrario A, Miranda C. Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. J Neurosurg. 2001;94:427–432
  16. MacKay CI, Han PP, Albuquerque FC, McDougall CG. Recurrence of a vertebral artery dissecting pseudoaneurysm after successful stent-supported coil embolization: case report. Neurosurgery. 2003;53:754–759
  17. Phatouros CC, Sasaki TY, Higashida RT, Malek AM, Meyers PM, Dowd CF, et al. Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery. 2000;47:107–113
  18. Sugiu K, Takahashi K, Muneta K, Ohmoto T. Rebleeding of a vertebral artery dissecting aneurysm during stent-assisted coil embolization: a pitfall of the “stent and coil” technique. Surg Neurol. 2004;61:365–370
  19. Friedman AH, Drake CG. Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg. 1984;60:325–334
  20. Shimoji T, Bando K, Nakajima K, Ito K. Dissecting aneurysm of the vertebral artery. Report of seven cases and angiographic findings. J Neurosurg. 1984;61:1038–1046
  21. Anson JA, Lawton MT, Spetzler RF. Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms. J Neurosurg. 1996;84:185–193
  22. Uhl E, Schmid-Elsaesser R, Steiger HJ. Ruptured intracranial dissecting aneurysms: management considerations with a focus on surgical and endovascular techniques to preserve arterial continuity. Acta Neurochir (Wien). 2003;145:1073–1083
  23. Zenteno MA, Murillo-Bonilla LM, Guinto G, Gomez CR, Martinez SR, Higuera-Calleja J, et al. Sole stenting bypass for the treatment of vertebral artery aneurysms: technical case report. Neurosurgery. 2005;57(1 suppl):E208
  24. Komotar RJ, Mocco J, Samuelson RM, Tawk RG, Siddiqui AH, Levy EI, et al. Rapidly successive, symptomatic, bilateral, spontaneous vertebral artery dissections: treatment with stent reconstruction. Surg Neurol. 2008;(May):(Epub ahead of print)
  25. Lopes DK, Ringer AJ, Boulos AS, Qureshi AI, Lieber BB, Guterman LR, et al. Fate of branch arteries after intracranial stenting. Neurosurgery. 2003;52:1275–1278
  26. Yamaura A, Watanabe Y, Saeki N. Dissecting aneurysms of the intracranial vertebral artery. J Neurosurg. 1990;72:183–188
  27. Report of World Federation of Neurological Surgeons Committee on a Universal Subarachnoid Hemorrhage Grading Scale. J Neurosurg 1988, 68:985-6.
  28. Kitanaka C, Tanaka J, Kuwahara M, Teraoka A, Sasaki T, Takakura K, et al. Nonsurgical treatment of unruptured intracranial vertebral artery dissection with serial follow-up angiography. J Neurosurg. 1994;80:667–674
  29. Nakagawa K, Touho H, Morisako T, Osaka Y, Tatsuzawa K, Nakae H, et al. Long-term follow-up study of unruptured vertebral artery dissection: clinical outcomes and serial angiographic findings. J Neurosurg. 2000;93:19–25
  30. Akiyama Y, Itoh T, Kumai J, Iwamuro Y, Miyake H, Nishikawa M. [Vertebral artery dissection without subarachnoid hemorrhage studied by serial angiography]. No Shinkei Geka. 1996;24:443–449
  31. Yokoyama M., Kurita I., Yamashita M., Uemura G., Yoshida Y., Abe S., [Dissecting aneurysm of the vertebro-basilar artery Case report]. Neurol Med Chir (Tokyo) 1984; 24:343–348.
  32. Albuquerque FC, Fiorella DJ, Han PP, Deshmukh VR, Kim LJ, McDougall CG. Endovascular management of intracranial vertebral artery dissecting aneurysms. Neurosurg Focus. 2005;18:E3
  33. Zenteno MA, Santos-Franco JA, Freitas-Modenesi JM, Gómez C, Murillo-Bonilla L, Aburto-Murrieta Y, et al. Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients. J Neurosurg. 2008;108:1104–1118
  34. Santos-Franco JA, Zenteno M, Lee A. Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options. Neurosurg Rev. 2008;31:131–140
  35. Ono J, Yamaura A, Kobayashi S, Sugaya Y, Karasudani H, Ozawa Y, et al. Long-term outcome in patients with intracranial arterial dissection and subarachnoid hemorrhage: analysis of 25 conservatively managed patients in vertebrobasilar system. Surg Cereb Stroke. 2001;29:183–188
  36. Yamada M, Kitahara T, Kurata A, Fujii K, Miyasaka Y. Intracranial vertebral artery dissection with subarachnoid hemorrhage: clinical characteristics and outcomes in conservatively treated patients. J Neurosurg. 2004;101:25–30
  37. Yamaura A, Yoshimoto T, Hashimoto N, Ono J. Nationwide study of nontraumatic intracranial arterial dissection: clinical features and outcome. Surg Cereb Stroke. 1998;26:79–86
  38. SSYLVIA Study Investigators . Stenting of Symptomatic Atherosclerotic Lesions in the Vertebral or Intracranial Arteries (SSYLVIA): study results. Stroke. 2004;35:1388–1392
  39. Hasue M, Fukuda T, Nakajima S, Fukushima C, Haraoka J, Ito H. Treatment of dissecting vertebral aneurysms. Surg Cereb Stroke. 1993;21:361–367
  40. Eftekhar B, Dadmehr M, Ansari S, Ghodsi M, Nazparvar B, Ketabchi E. Are the distributions of variations of circle of Willis different in different populations?-Results of an anatomical study and review of literature. BMC Neurol. 2006;6:22
  41. Fawcett E, Blachford JV. The circle of Willis: an examination of 700 specimens. J Anat Physiol. 1905;40(Pt 1):63.2-70
  42. Windle BC. On the arteries forming the circle of Willis. J Anat Physiol. 1888;22(Pt 2):289–293
  43. Ono J, Hirai S, Serizawa T, Kobayashi E, Saeki N, Yamaura A. Prognostic factors of ruptured intracranial arterial dissections in the vertebrobasilar system: analysis of factors related to rebleeding. Jpn J Neurosurg. 2002;11:265–270
  44. Andoh T, Shirakami S, Nakashima T, Nishimura Y, Sakai N, Yamada H, et al. Clinical analysis of a series of vertebral aneurysm cases. Neurosurgery. 1992;31:987–993
  45. Wilson WD. Clinical analysis of a series of vertebral aneurysm cases. Neurosurgery. 1993;33:343
  46. Stehbens WE. Pathology of Cerebral Blood Vessels. St Louis: CV Mosby; 1972;60-8

PII: S0303-8467(09)00176-0

doi: 10.1016/j.clineuro.2009.07.008

Clinical Neurology and Neurosurgery
Volume 111, Issue 10 , Pages 868-873 , December 2009

Article Tools

* Image Usage & Resolution