American Association of Neurological Surgeons | Combined reconstructive and deconstructive endovascular approach for bilateral VA dissection w/ SAH @AANSNeurosurgery | Uploaded August 2019 | Updated October 2024, 23 hours ago.
Jacob Cherian, MD, Thomas P. Madaelil, MD, Frank Tong, MD, Brian M. Howard, MD, C. Michael Cawley, MD, and Jonathan A. Grossberg, MD
Department of Neurosurgery, Emory University Hospital, Atlanta, Georgia
The video highlights a challenging case of bilateral vertebral artery dissection presenting with subarachnoid hemorrhage. The patient was found to have a critical flow-limiting stenosis in his dominant right vertebral artery and a ruptured pseudoaneurysm in his left vertebral artery. A single-stage endovascular treatment with stent reconstruction of the right vertebral artery and coil embolization sacrifice of the left side was performed. The case highlights the rationale for treatment and potential alternative strategies.
Jacob Cherian, MD, Thomas P. Madaelil, MD, Frank Tong, MD, Brian M. Howard, MD, C. Michael Cawley, MD, and Jonathan A. Grossberg, MD
Department of Neurosurgery, Emory University Hospital, Atlanta, Georgia
The video highlights a challenging case of bilateral vertebral artery dissection presenting with subarachnoid hemorrhage. The patient was found to have a critical flow-limiting stenosis in his dominant right vertebral artery and a ruptured pseudoaneurysm in his left vertebral artery. A single-stage endovascular treatment with stent reconstruction of the right vertebral artery and coil embolization sacrifice of the left side was performed. The case highlights the rationale for treatment and potential alternative strategies.
