Management options in vertebral artery injuries

D. Demetriades, D. Theodorou, J. Asensio, S. Golshani, H. Belzberg, A. Yellin, F. Weaver, T. V. Berne

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

The treatment of 22 patients with vertebral artery injuries was reviewed. Only four patients required an emergency operation. Most of the injuries (13 of 22) were successfully managed by observation. Five patients were managed by angiographic embolization which was successful in three. In three patients with an aneurysm and arteriovenous fistula, proximal embolization of the vascular lesion was not adequate and a suboccipital craniectomy was required for distal ligation. Most vertebral artery injuries can safely be managed without an operation, or by angiographic embolization. Surgical intervention should be reserved for patients with severe bleeding or where embolization has failed.

Original languageEnglish (US)
Pages (from-to)83-86
Number of pages4
JournalBritish Journal of Surgery
Volume83
Issue number1
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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  • Cite this

    Demetriades, D., Theodorou, D., Asensio, J., Golshani, S., Belzberg, H., Yellin, A., Weaver, F., & Berne, T. V. (1996). Management options in vertebral artery injuries. British Journal of Surgery, 83(1), 83-86. https://doi.org/10.1002/bjs.1800830126