Left Distal Radial Approach for Stent-assisted Coiling of Left Vertebral Artery Aneurysm

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Objective: We report a first case of stent-assisted coiling for the left vertebral artery aneurysm via the left distal radial approach.

Case Presentation: The patient was a 47-year-old male with unruptured left vertebral artery aneurysm. Transfemoral approach was infeasible because of the history of thoracoabdominal aortic dissection, the left distal radial approach was selected. Distal radial artery in the left anatomical snuffbox was punctured and a 4 Fr guiding sheath was introduced to the left vertebral artery, followed by successful coil embolization with stent.

Conclusion: The left distal radial approach via the anatomical snuffbox is a feasible method for left vertebral artery lesions.