Emergency endovascular treatment of a life-threatening hemorrhage from traumatic rupture of the left extracranial vertebral artery.
Hemorrhagic complications from transection of cervical arteries in blunt traumas are rare. We report a case of potentially fatal hemorrhage from rupture of the left vertebral artery in a closed trauma, successfully treated by endovascular injection of glue. Endovascular embolization may be considered as an alternative to surgical exploration in the treatment of traumatic lesions of vertebral arteries.
Simionato
F
F
Servizio di Neuroradiologia, Ospedale San Raffaele, Via Olgettina 60, I-20 132 Milano, Italy. simionato.franco@hsr.it
Righi
C
C
Silvani
P
P
Torri
G
G
Scotti
G
G
D000059:Accidents; D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods*; D003287:Contrast Media; D004338:Drug Combinations; D004621:Embolization, Therapeutic / Q000379:methods*; D004630:Emergencies; D004659:Enbucrilate / Q000627:therapeutic use*; D006801:Humans; D007459:Iodized Oil; D008279:Magnetic Resonance Imaging; D008297:Male; D015541:Off-Road Motor Vehicles; D011859:Radiography; D012421:Rupture; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014711:Vertebral Artery / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*
D003287:Contrast Media; D004338:Drug Combinations; D007459:Iodized Oil; D004659:Enbucrilate