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J Vasc Surg. 2013 Nov;58(5):1391-3. doi: 10.1016/j.jvs.2013.01.040. Epub 2013 Apr 2.

Endovascular treatment of a symptomatic extracranial vertebral artery aneurysm.

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Department of Surgery, University of Pennsylvania, Philadelphia, Pa.


Aneurysms of the extracranial vertebral artery are uncommon, with most cases attributed to penetrating head and neck trauma. We report a 29-year-old man with a symptomatic proximal extracranial vertebral artery aneurysm of unclear etiology. This patient's aneurysm was definitively treated after a successful balloon occlusion test of his affected vertebral artery. An endovascular approach was used combining coil embolization of the distal vertebral artery and a covered stent graft in the subclavian. Although aneurysms of this size and location are traditionally repaired with open aneurysmectomy, we show that endovascular approaches can be a safe and effective alternative.

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