Managing Embolized Vertebral Artery Stent – A Drag-Back Approach

Noor Dastgir, Arslan Masood, Ahmed Muqeet, Zubair Akram

Abstract


Ischemia involving the posterior cerebral circulation carries high morbidity and mortality. Endovascular access to the vertebral artery is a relatively safe and straightforward management option. The feasibility and safety of angioplasty and stenting is well demonstrated in multiple centers. Periprocedural risks include stent embolization, malposition, stent fracture, vessel rupture, dissection and thrombosis. We present a case of vertebral artery stenting that was complicated by distal embolization of the stent. The anatomical difficulties while managing the complication were challenging. A novel drag-back technique was successfully tried and is described here along with discussion of other management options described in literature.




J Med Cases. 2018;9(8):260-263
doi: https://doi.org/10.14740/jmc3104w

Keywords


Vertebral artery; Vertebrobasilar insufficiency/therapy; Endovascular; Cerebral revascularization

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.             
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.