Treatment of an iatrogenic vertebral artery laceration with the Symbiot self expandable covered stent.
Vertebral artery laceration is difficult to treat surgically. Endovascular treatment with balloon expandable covered stents often fails due to their rigidity and poor navigability. We present a case of iatrogenic vertebral artery laceration where endovascular treatment with a balloon expandable covered stent failed. Eventually a self expandable symbiot covered stent was deployed over the laceration, securing hemostasis and preserving the vessel patency. The newer self expandable covered stents seem promising in the treatment of vertebral artery injury.
Katsaridis
Vasilios
V
Neurosurgical Department, G. Papanikolaou General Hospital, 15, Papanikolaou Avenue, Thessaloniki, Greece. vkats@iname.com <vkats@iname.com>
Papagiannaki
Chrysanthi
C
Violaris
Constantinos
C
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon; D002574:Cervical Vertebrae / Q000601:surgery*; D020099:Coated Materials, Biocompatible; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D018810:Magnetic Resonance Angiography; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D013123:Spinal Fusion; D013128:Spinal Osteophytosis / Q000601:surgery*; D015607:Stents; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries*
D020099:Coated Materials, Biocompatible