Rl. Feinberg et al., SUCCESSFUL MANAGEMENT OF TRAUMATIC FALSE ANEURYSM OF THE EXTRACRANIALVERTEBRAL ARTERY BY DUPLEX-DIRECTED MANUAL OCCLUSION - A CASE-REPORT, Journal of vascular surgery, 18(5), 1993, pp. 889-894
A 32-year-old man was transferred to our hospital after a 2.0 by 2.5 c
m traumatic false aneurysm of the distal extracranial vertebral artery
was noted after a stab wound of the posterior side of the neck. To ob
viate the need for operative exposure of the distal vertebral artery a
t the base of the skull, we elected to perform duplex-directed manual
occlusion of the lesion. Angiography before and after the procedure, a
s well as 10-month follow-up duplex ultrasonography, demonstrated sati
sfactory thrombosis of the false aneurysm without evidence of a residu
al arterial defect. There was no morbidity associated with the procedu
re. We conclude that duplex-directed manual occlusion, a new technique
recently described for the nonoperative management of postcatheteriza
tion femoral false aneurysms, can be applied safely and effectively to
false aneurysms in other locations in which the risks and technical d
ifficulties of operative repair render surgery less desirable.