J Korean Radiol Soc.  2002 Mar;46(3):203-206. 10.3348/jkrs.2002.46.3.203.

Stent Assisted Coil Embolization of a Dissecting Aneurysm of the Vertebral Artery: A Case Involving a Patient with Hypoplasia of the Contralateral Vertebral Artery

• Kim HJ
• Jeong HW
• Cho JK
• Park JH
• Baik SK
• Koo YW

• KMID: 2117401
• DOI: http://doi.org/10.3348/jkrs.2002.46.3.203

Abstract

A dissecting aneurysm of the vertebral artery may be treated conservatively, surgically, or using an endovascular approach. Proximal clipping, wrapping or trapping are surgical treatment methods, and endovascular treatment with coils and balloons is performed where a dissecting aneurysm is located near the midline or the appropriate surgical manipulation is difficult. As the contralateral vertebral artery of this patient was hypoplastic, the stent-assisted coil embolization technique was employed to preserve the ipsilateral vertebral artery. We describe a clinical case of dissecting aneurysm of the vertebral artery occurring in a patient in whom a hypoplastic contralateral vertebral artery was successfully treated.

Keyword

Aneurysm, cerebral; Aneurysm, therapy; Interventional procedures, technology

MeSH Terms

Aneurysm, Dissecting*
Embolization, Therapeutic*
Humans
Intracranial Aneurysm
Stents*
Vertebral Artery*