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Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization
JACC: CARDIOVASCULAR INTERVENTIONS
VOL. 10, NO. 1, 2017
ª 2017 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION
ISSN 1936-8798/$36.00
PUBLISHED BY ELSEVIER
http://dx.doi.org/10.1016/j.jcin.2016.10.021
IMAGES IN INTERVENTION
Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization Zhongzhi Jia, PHD, Guomin Jiang, MD
A
27-year-old man presented with a huge
of the right vertebral artery (Figure 1B), and a micro-
hematoma in the neck because of a knife
catheter was placed into the right vertebral artery
wound. Vertebral artery rupture was sus-
via the left vertebral artery with the tip at the site of
pected by ultrasonography. Vertebral arteriography
rupture (Figure 1C). The distal of vertebral artery
was performed for a possible cover stent placement,
was embolized by coils (Figure 1D). The wound and
and a right vertebral artery rupture was identified. A
hematoma were treated with surgical irrigation and
balloon was placed proximal to the right vertebral
debridement after the embolization procedure, and
artery
(Figure
1A).
Left
vertebral
arteriography
showed a huge hematoma at the site of the rupture
the patient recovered without procedure-related complications and side effects at 4 years follow-up.
From the Department of Interventional Radiology, the Second People’s Hospital of Changzhou, Nanjing Medical University, Chang zhou, China. Supported by High-Level Medical Talents Training Project of Changzhou (NO. 2016CZBJ009). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors have reported that they have no relationships relevant to the contents of this paper to disclose. Manuscript received October 5, 2016; accepted October 20, 2016.
e2
Jia and Jiang
JACC: CARDIOVASCULAR INTERVENTIONS VOL. 10, NO. 1, 2017 JANUARY 9, 2017:e1–2
Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization
F I G U R E 1 Vertebral Arteriography and Embolization
(A) A balloon was placed proximal to the right vertebral artery to block the flow. (B) Left vertebral arteriography showed a huge hematoma at the site of the rupture of the right vertebral artery. (C) A microcatheter was placed into the right vertebral artery via the left vertebral artery with the tip at the site of rupture. (D) The distal of vertebral artery was embolized by coils.
REPRINT REQUESTS AND CORRESPONDENCE: Dr.
Guomin Jiang, Department of Interventional Radiology, the Second People’s Hospital of Changzhou, Nanjing Medical University, Xing Long Road 29#, Chang zhou, China, 213003. E-mail: [email protected].
KEY WORDS embolization, rupture, vertebral artery
VOL. 10, NO. 1, 2017
ª 2017 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION
ISSN 1936-8798/$36.00
PUBLISHED BY ELSEVIER
http://dx.doi.org/10.1016/j.jcin.2016.10.021
IMAGES IN INTERVENTION
Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization Zhongzhi Jia, PHD, Guomin Jiang, MD
A
27-year-old man presented with a huge
of the right vertebral artery (Figure 1B), and a micro-
hematoma in the neck because of a knife
catheter was placed into the right vertebral artery
wound. Vertebral artery rupture was sus-
via the left vertebral artery with the tip at the site of
pected by ultrasonography. Vertebral arteriography
rupture (Figure 1C). The distal of vertebral artery
was performed for a possible cover stent placement,
was embolized by coils (Figure 1D). The wound and
and a right vertebral artery rupture was identified. A
hematoma were treated with surgical irrigation and
balloon was placed proximal to the right vertebral
debridement after the embolization procedure, and
artery
(Figure
1A).
Left
vertebral
arteriography
showed a huge hematoma at the site of the rupture
the patient recovered without procedure-related complications and side effects at 4 years follow-up.
From the Department of Interventional Radiology, the Second People’s Hospital of Changzhou, Nanjing Medical University, Chang zhou, China. Supported by High-Level Medical Talents Training Project of Changzhou (NO. 2016CZBJ009). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors have reported that they have no relationships relevant to the contents of this paper to disclose. Manuscript received October 5, 2016; accepted October 20, 2016.
e2
Jia and Jiang
JACC: CARDIOVASCULAR INTERVENTIONS VOL. 10, NO. 1, 2017 JANUARY 9, 2017:e1–2
Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization
F I G U R E 1 Vertebral Arteriography and Embolization
(A) A balloon was placed proximal to the right vertebral artery to block the flow. (B) Left vertebral arteriography showed a huge hematoma at the site of the rupture of the right vertebral artery. (C) A microcatheter was placed into the right vertebral artery via the left vertebral artery with the tip at the site of rupture. (D) The distal of vertebral artery was embolized by coils.
REPRINT REQUESTS AND CORRESPONDENCE: Dr.
Guomin Jiang, Department of Interventional Radiology, the Second People’s Hospital of Changzhou, Nanjing Medical University, Xing Long Road 29#, Chang zhou, China, 213003. E-mail: [email protected].
KEY WORDS embolization, rupture, vertebral artery