title: Endovascular treatment of a symptomatic vertebral artery pseudoaneurysm.
abstract: A 35-year-old patient was brought to the emergency department referring dysarthria, left ear tinnitus for 5 min, and short-lasting blindness, with headache in the 45 min before the clinical presentation. In the magnetic resonance imaging, an acute-subacute lesion in the cerebellum right-anterior lobe (in the territory of the cerebellum anterior artery) and a dilatation near the ostium of the right vertebral artery were seen. For a better assessment, an Angio-CT was done, showing a 9-mm saccular pseudoaneurysm of the right vertebral artery close to the origin of the vessel, without being able to determine if it had been caused because of a dissection. The rest of the study (cerebral vessels and supra-aortic vessels) showed no disorders. He was operated under local anesthesia and sedation a week after the onset of the symptoms. Through a 0.014 wire, a Biotronik PK Papyrus balloon-expandable covered cobalt-chromium stent was deployed covering the hole in the artery. Antiplatelet drugs were prescribed, and the patient was discharged 24 hr after surgery. He has remained symptom free since then.
authors.affiliation: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Virgen de la Victoria, Málaga, Spain. Electronic address: gperezin@gmail.com.
authors.forename: Gabriel Cristian
authors.initials: GC
authors.lastname: Inaraja Pérez
authors.affiliation: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Rodríguez Morata
authors.affiliation: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
authors.forename: Juan Pedro
authors.initials: JP
authors.lastname: Reyes Ortega
authors.affiliation: Servicio de Angiología y Cirugía Vascular, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Gómez Medialdea
authors.affiliation: Servicio de Neurología, Hospital Virgen de la Victoria, Málaga, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Cabezudo García
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery