Vertebral endarterectomy combined with endovascular treatment for patients with vertebral artery stenosis and vertebral aneurysm: illustrative case

Fan Yang; Shilin Li; Yuanbing Chen; Jiayi Xie; Yi Liu; Fei Peng; Xuge Chen; Jiaxiang Xia; Boya Xu; Zhifei Wang; Jiaode Jiang; Aihua Liu

doi:10.3171/CASE2475

Vertebral endarterectomy combined with endovascular treatment for patients with vertebral artery stenosis and vertebral aneurysm: illustrative case

J Neurosurg Case Lessons. 2024 Nov 4;8(19):CASE2475. doi: 10.3171/CASE2475. Print 2024 Nov 4.

Authors

Fan Yang¹, Shilin Li¹, Yuanbing Chen¹, Jiayi Xie², Yi Liu¹, Fei Peng³, Xuge Chen³, Jiaxiang Xia³, Boya Xu³, Zhifei Wang¹, Jiaode Jiang¹, Aihua Liu³

Affiliations

¹ Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
² Department of Ultrasound, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
³ Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital University, Beijing, China.

PMID: 39496158
DOI: 10.3171/CASE2475

Abstract

Background: Vertebral artery stenosis (VAS) and vertebral aneurysms are serious conditions that can be life-threatening and have a poor prognosis. The co-occurrence of VAS and a vertebral aneurysm is less common and more difficult to treat.

Observations: The authors report the case of a patient who presented with a rare occurrence of VAS combined with a vertebral aneurysm. The optimal treatment for both VAS and the vertebral aneurysm is intravascular therapy. Since the guidewire was unable to establish an effective channel, vertebral endarterectomy was performed in combination with endovascular treatment.

Lessons: A combination of vertebral endarterectomy and endovascular treatment can effectively manage the co-occurrence of VAS and a vertebral aneurysm. https://thejns.org/doi/10.3171/CASE2475.

Keywords: case report; endovascular treatment; vertebral aneurysm; vertebral artery stenosis; vertebral endarterectomy.