SUCCESSFUL MANAGEMENT OF TRAUMATIC FALSE ANEURYSM OF THE EXTRACRANIALVERTEBRAL ARTERY BY DUPLEX-DIRECTED MANUAL OCCLUSION - A CASE-REPORT

Citation
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
Citations number
15
Categorie Soggetti
Surgery,"Cardiac & Cardiovascular System
Journal title
ISSN journal
07415214
Volume
18
Issue
5
Year of publication
1993
Pages
889 - 894
Database
ISI
SICI code
0741-5214(1993)18:5<889:SMOTFA>2.0.ZU;2-U
Abstract
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.