title: Life-threatening bleeding from a vertebral artery pseudoaneurysm after anterior cervical spine approach: endovascular repair by a triple stent-in-stent method. Case report.
abstract: The incidence of injury to the cervical vertebral artery during surgery for stenosis of the cervical neuroforamina is very low. We present a case in which bleeding during microforaminotomy at the level C6/7 occurred. The bleeding could be controlled intraoperatively. Two days later, a life-threatening cervical hematoma required urgent bedside evacuation. A false aneurysm of the left cervical vertebral artery was successfully occluded by a modified triple stent-in-stent technique, maintaining the flow in the vessel.
authors.affiliation: Section of Neuroradiology, Neurocenter, University of Freiburg, Breisacher Str. 64, 79106 Freiburg, Germany. garcia@nz.ukl.uni-freiburg.de
authors.forename: Meritxell
authors.initials: M
authors.lastname: Garcia Alzamora
authors.forename: Steffen K
authors.initials: SK
authors.lastname: Rosahl
authors.forename: Jens
authors.initials: J
authors.lastname: Lehmberg
authors.forename: Joachim
authors.initials: J
authors.lastname: Klisch
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002574:Cervical Vertebrae / Q000601:surgery; D017586:Diskectomy / Q000009:adverse effects; D005260:Female; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D014711:Vertebral Artery