Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Aneurysms of the extracranial section vertebral arteries

Authors: Dmitriev O.V.1, Stepanov M.Yu.1, Tereshina O.V.2, Vachev A.N.1

Company:
1 Samara State Medical University, Samara, Russian Federation
2 Royal Brompton Hospital, London, United Kingdom

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2023-20-3-231-241

UDC: 616.134.9-007.64

Link: Clinical Physiology of Blood Circulaiton. 2023; 3 (20): 231-241

Quote as: Dmitriev O.V., Stepanov M.Yu., Tereshina O.V., Vachev A.N. Aneurysms of the extracranial section vertebral arteries. Clinical Physiology of Circulation. 2023; 20 (3): 231–41 (in Russ.). DOI: 10.24022/1814-6910-2023-20-3-231-241

Received / Accepted:  21.07.2023 / 31.08.2023

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Abstract

Aneurysms of the extracranial vertebral artery are a rare disease, occurring in no more than 0.5% of all aneurysms. The review presents literature data on the frequency, etiology, clinical manifestations, and diagnosis of this disease. A large ture and a small number of published observations lead to the absence of clearly developed treatment tactics for this group of patients. Due to the small number of observations, large studies have not been conducted and it is impossible to draw conclusions on the long-term results of treatment in patients with aneurysms of the extracranial vertebral arteries. The main treatment method for this pathology is surgery. The work presents all known modern surgical techniques, both endovascular and open. The analyzed literature reports immediate favorable treatment outcomes and only in isolated longterm follow-up periods for specific patients with an average period of no more than 5 years.

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****
  1. Koos W.T., Perneczky A. Timing of surgery for ruptured aneurysms experience from 800 consecutive cases. Acta neurochir (Wien). 1982; 63 (14): 125–33. DOI: 10.1007/bf01728864
  2. Drake C.G., Peerless S.J., Hernesniemi J.A. Surgery of vertebrobasilar aneurysms. New York: Springer; 1996. DOI: 10.1007/978-3-7091-9409-6
  3. Lehto H., Niemelä M., Kivisaari R., Laakso А., Jahromi B.R., Hijazyet F. et al. Intracranial vertebral artery aneurysms: Clinical features and outcome of 190 patients. World Neurosurg. 2015; 4 (2): 380–9. DOI: 10.1016/j.wneu.2015.03.034
  4. Muresian H. Arterial revascularization of the head and neck. Text atlas for prevention and management of stroke. Editorial SPRINGER; 2016. DOI: 10.1007/978-3-319-34193-4
  5. George В., Laurian С. The vertebral artery. Pathology and Surgery. Wien: Springer-Verlag; 1987. DOI: 10.1007/978-3-7091-6967-4
  6. De Bakey M.E., Simeone F.A. Battle injuries of the arteries in World War II. Ann. Surg. 1946; 123: 534–41. DOI: 10.1097/00000658-194604000-00005
  7. Moniz E. L'encephalographie arterie1le, son importance dans la localization des tumeurs cerebrales. Rev. Neurol. 1927; 2: 72–81.
  8. De Bakey M.E., Crawford E.S., Cooley D.A. Cerebral arterial insufficiency: one to eleven years result following arterial reconstructive operation. Ann. Surg. 1965; 161: 921–45. DOI: 10.1097/00000658-196506000-00011
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  31. Ringel S.P., Harrison S.H., Norenberg M.D., Austin J.H. Fibromuscular dysplasia: multiple “spontaneous” dissecting aneurysms of the major cervical arteries. Ann. Neurol. 1977; 1 (3): 301–4. DOI: 10.1002/ana.410010320
  32. Ding H., Zhu Y., Wang H., Luo S., Liu Y., Huang W. et al. Management of type B aortic dissection with an isolated left vertebral artery. J. Vasc. Surg. 2019; 70 (4): 1065–71. DOI: 10.1016/j.jvs.2018.11.052
  33. Yasui T., Sakamoto H., Kishi H., Komiyama M., Iwai Y., Yamanaka K. et al. Bilateral dissecting aneurysms of the vertebral arteries resulting in subarachnoid hemorrhage: case report. Neurosurgery. 1998; 42 (1): 162–4; disc. 165. DOI: 10.1097/00006123-199801000-00035
  34. Canepa Raggio C., Dasgupta A. Three cases of Spontaneous Vertebral Artery Dissection (SVAD), resulting in two cases of Wallenberg syndrome and one case of Foville syndrome in young, healthy men. BMJ Case Rep. 2014; 2014. pii: bcr2014203945. DOI: 10.1136/bcr-2014-203945
  35. Nenadic D., Balevic M., Milojevic M., Tanskovic S. Extracranial vertebral artery aneurysm rupture complicated by extrapleural haematoma. EJVES Short Rep. 2018; 12: 38: 12–4. DOI: 10.1016/j.ejvssr.2018.01.001
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  38. Hugenholtz H., Pokpura R., Montpetit V.J.A., Nelson R., Richard M.T. Spontaneous dissecting aneurysm of the extracranial vertebral artery. Neurosurgery. 1982; 10 (1): 96–100.
  39. Hadley M.N., Spetzler R.F., Masferrer R., Martin M.A., Carter L.P. Occipital artery to extradural vertebral artery bypass procedure. J. Neurosurg. 1985; 63 (4): 622–5. DOI: 10.3171/jns.1985.63.4.0622
  40. Lylyk P., Miranda C., Ceratto R., Ferrario A., Scrivano E., Luna H.R. et al. Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience. Neurosurgery. 2009; 64 (4): 632–42. DOI: 10.1227/01.NEU.0000339109.98070.65
  41. Matsuura D., Inatomi Y., Saeda H., Yonehara T., Fujioka S., Kai Y. et al. [Traumatic extracranial vertebral artery dissection treated with coil embolization – a case report]. Rinsho Shinkeigaku. 2005; 45 (4): 298–303.
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About Authors

  • Oleg V. Dmitriev, Dr. Med. Sci., Associate Professor, Head of the Department of Cardiovascular Surgery No. 1 of the Clinic of Faculty Surgery; ORCID
  • Mikhail Yu. Stepanov, Neurologist; ORCID
  • Olga V. Tereshina, Cand. Med. Sci., Associate Professor, Senior Specialist Echocardiographer; ORCID
  • Aleksey N. Vachev, Dr. Med. Sci., Professor, Head of the Chair and Clinic of Faculty Surgery Clinic; ORCID

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