Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: Case report on surgical and endovascular considerations from two cases

Sandra Adriana Cornelissen; Sam Heye; Geert Maleux; Kim Daenens; Johannes van Loon; Steven De Vleeschouwer

doi:10.1016/j.ijscr.2021.106744

Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: Case report on surgical and endovascular considerations from two cases

Sandra Adriana Cornelissen
, Sam Heye
, Geert Maleux
, Kim Daenens
, Johannes van Loon
, Steven De Vleeschouwer^*

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Article › Academic › peer-review

2 Citations (Scopus)

49 Downloads (Pure)

Abstract

Introduction: Subclavian steal phenomenon causes retrograde flow through the vertebral artery, ipsilateral to the affected subclavian artery, which rarely leads to flow-related vertebrobasilar junction (VBJ) aneurysms. Case descriptions: We describe two cases of subarachnoid hemorrhage from such ruptured aneurysms in which the retrograde flow direction in the vertebral artery complicated surgical and endovascular treatment. Discussion: Reversed flow in the vertebral artery, ipsilateral to the stenotic subclavian artery leads to a lack of proximal control in surgical clipping of these VBJ aneurysms and jeopardizes stability of coil and stent placement in endovascular aneurysm treatments in this setting. Conclusion: From these 2 experiences over 7 years, treatment considerations emerged for future cases.

Original language	English
Article number	106744
Journal	International Journal of Surgery Case Reports
Volume	90
Early online date	27 Dec 2021
DOIs	https://doi.org/10.1016/j.ijscr.2021.106744
Publication status	Published - 1 Jan 2022

Bibliographical note

Funding Information:
We want to acknowledge Ali Reza Bayat and Sven Bamps for their support. This work has been registered under the unique identifying number (UIN) researchregistry7475 at https://www.researchregistry.com/browse-the-registry.

Publisher Copyright:
© 2021 The Authors

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Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysmsFinal published version, 3.02 MBLicence: CC BY-NC-ND

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title = "Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: Case report on surgical and endovascular considerations from two cases",

abstract = "Introduction: Subclavian steal phenomenon causes retrograde flow through the vertebral artery, ipsilateral to the affected subclavian artery, which rarely leads to flow-related vertebrobasilar junction (VBJ) aneurysms. Case descriptions: We describe two cases of subarachnoid hemorrhage from such ruptured aneurysms in which the retrograde flow direction in the vertebral artery complicated surgical and endovascular treatment. Discussion: Reversed flow in the vertebral artery, ipsilateral to the stenotic subclavian artery leads to a lack of proximal control in surgical clipping of these VBJ aneurysms and jeopardizes stability of coil and stent placement in endovascular aneurysm treatments in this setting. Conclusion: From these 2 experiences over 7 years, treatment considerations emerged for future cases.",

author = "Cornelissen, \{Sandra Adriana\} and Sam Heye and Geert Maleux and Kim Daenens and \{van Loon\}, Johannes and \{De Vleeschouwer\}, Steven",

note = "Funding Information: We want to acknowledge Ali Reza Bayat and Sven Bamps for their support. This work has been registered under the unique identifying number (UIN) researchregistry7475 at https://www.researchregistry.com/browse-the-registry. Publisher Copyright: {\textcopyright} 2021 The Authors",

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doi = "10.1016/j.ijscr.2021.106744",

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Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: Case report on surgical and endovascular considerations from two cases. / Cornelissen, Sandra Adriana; Heye, Sam; Maleux, Geert et al.
In: International Journal of Surgery Case Reports, Vol. 90, 106744, 01.01.2022.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms

T2 - Case report on surgical and endovascular considerations from two cases

AU - Cornelissen, Sandra Adriana

AU - Heye, Sam

AU - Maleux, Geert

AU - Daenens, Kim

AU - van Loon, Johannes

AU - De Vleeschouwer, Steven

N1 - Funding Information: We want to acknowledge Ali Reza Bayat and Sven Bamps for their support. This work has been registered under the unique identifying number (UIN) researchregistry7475 at https://www.researchregistry.com/browse-the-registry. Publisher Copyright: © 2021 The Authors

PY - 2022/1/1

Y1 - 2022/1/1

N2 - Introduction: Subclavian steal phenomenon causes retrograde flow through the vertebral artery, ipsilateral to the affected subclavian artery, which rarely leads to flow-related vertebrobasilar junction (VBJ) aneurysms. Case descriptions: We describe two cases of subarachnoid hemorrhage from such ruptured aneurysms in which the retrograde flow direction in the vertebral artery complicated surgical and endovascular treatment. Discussion: Reversed flow in the vertebral artery, ipsilateral to the stenotic subclavian artery leads to a lack of proximal control in surgical clipping of these VBJ aneurysms and jeopardizes stability of coil and stent placement in endovascular aneurysm treatments in this setting. Conclusion: From these 2 experiences over 7 years, treatment considerations emerged for future cases.

AB - Introduction: Subclavian steal phenomenon causes retrograde flow through the vertebral artery, ipsilateral to the affected subclavian artery, which rarely leads to flow-related vertebrobasilar junction (VBJ) aneurysms. Case descriptions: We describe two cases of subarachnoid hemorrhage from such ruptured aneurysms in which the retrograde flow direction in the vertebral artery complicated surgical and endovascular treatment. Discussion: Reversed flow in the vertebral artery, ipsilateral to the stenotic subclavian artery leads to a lack of proximal control in surgical clipping of these VBJ aneurysms and jeopardizes stability of coil and stent placement in endovascular aneurysm treatments in this setting. Conclusion: From these 2 experiences over 7 years, treatment considerations emerged for future cases.

UR - https://www.scopus.com/pages/publications/85122370832

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DO - 10.1016/j.ijscr.2021.106744

M3 - Article

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AN - SCOPUS:85122370832

SN - 2210-2612

VL - 90

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

M1 - 106744

ER -

Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: Case report on surgical and endovascular considerations from two cases

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