2015 Volume 9 Issue 2 Pages 103-107
Objective: We report a case of hemorrhagic vertebral artery dissecting aneurysm (VADA) treated with sole stenting technique.
Case presentation: A 39-year-old man developed severe headache and alteration of consciousness due to thick subarachnoid hemorrhage. Computed tomographic angiography (CTA) demonstrated right hemorrhagic VADA. Poor collateral flow under balloon occlusion in the right vertebral artery (VA) was also detected. We used the sole stenting technique for right hemorrhagic VADA both to prevent aneurysmal rebleeding and to avoid parent artery occlusion. Flow stagnation was achieved within the aneurysmal sac by using two balloon expandable coronary stents (stent-in-stent). No ischemic or hemorrhagic complications were observed. The patient was transferred to rehabilitation hospital. Angiography after 10 months showed complete obliteration of aneurysm and no recurrence was achieved for 3 years.
Conclusion: The sole stenting technique could effectively treat hemorrhagic VADA.
