{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:00:27Z","timestamp":1780736427658,"version":"3.54.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:p>Penetrating injuries to the neck can result in a number of abnormalities that are of interest to neurosurgeons and interventional neuroradiologists. Gunshot or stab wounds may cause damage to the cervical spinal cord, the adjacent osseous and ligamentous structures, and the peripheral or cranial nerves. In addition, a significant percentage of penetrating wounds to this location result in vascular injury. These may present insidiously or acutely and with a variety of symptoms. The authors present the case of a patient in whom an occipital lobe infarction developed roughly 2 months after the patient was struck in the neck by a bullet. He was found to have a complete transection of the left vertebral artery, with an associated vertebral-venous fistula. The fistula was eventually treated endovascularly with a combination of platinum coils and Amplatzer Vascular Plugs. The management is discussed, with specific emphasis on the technical aspects of the case.<\/jats:p>","DOI":"10.3171\/2008.12.focus08274","type":"journal-article","created":{"date-parts":[[2009,2,27]],"date-time":"2009-02-27T10:34:16Z","timestamp":1235730856000},"page":"E5","source":"Crossref","is-referenced-by-count":13,"title":["Traumatic high flow vertebral-venous fistula presenting with delayed ischemic stroke: endovascular management with detachable coils and Amplatzer Vascular Plugs"],"prefix":"10.3171","volume":"26","author":[{"given":"R. Webster","family":"Crowley","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricky","family":"Medel","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron S.","family":"Dumont","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"},{"name":"Radiology, University of Virginia School of Medicine, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0260005","series-title":"J Trauma","first-page":"574","article-title":"Endovascular management of penetrating vertebral artery injuries","volume":"53","author":"Albuquerque","year":"2002"},{"key":"b2-0260005","series-title":"Surg Neurol","first-page":"136","article-title":"Traumatic aneurysms and arteriovenous fistulas of the extracranial vessels in war injuries","volume":"53","author":"Amirjamshidi","year":"2000"},{"key":"b3-0260005","series-title":"Neuroradiology","first-page":"179","article-title":"Neuroapplication of Amplatzer vascular plug: a novel device for parent artery occlusion","volume":"50","author":"Geyik","year":"2008"},{"key":"b4-0260005","series-title":"Neuroradiology","first-page":"709","article-title":"Closing the gap between coil and balloon in the neurointerventional armamentarium? Initial clinical experience with a nitinol vascular occlusion plug","volume":"50","author":"Gralla","year":"2008"},{"key":"b5-0260005","series-title":"AJR Am J Roentgenol","first-page":"405","article-title":"Treatment of vertebral arteriovenous fistulas","volume":"150","author":"Halbach","year":"1988"},{"key":"b6-0260005","series-title":"AJR Am J Roentgenol","first-page":"577","article-title":"Interventional neurovascular treatment of traumatic carotid and vertebral artery lesions: results in 234 cases","volume":"153","author":"Higashida","year":"1989"},{"key":"b7-0260005","series-title":"Catheter Cardiovasc Interv","first-page":"482","article-title":"New device for percutaneous closure of aortopulmonary collaterals","volume":"63","author":"Hijazi","year":"2004"},{"issue":"1 Suppl","key":"b8-0260005","series-title":"Neurosurgery","first-page":"ONSE171","article-title":"Use of the Amplatzer vascular plug as an anchoring scaffold for coil-mediated parent vessel occlusion: technical case report","volume":"59","author":"Hoit","year":"2006"},{"key":"b9-0260005","series-title":"Surg Neurol","first-page":"335","article-title":"Transarterial coil embolization of a high-flow vertebrojugular fistula due to penetrating craniocervical trauma: case report","volume":"64","author":"O'Shaughnessy","year":"2005"},{"key":"b10-0260005","series-title":"Eur Radiol","first-page":"2006","article-title":"The Amplatzer vascular plug for large vessel occlusion in the endovascular management of aneurysms","volume":"18","author":"Ratnam","year":"2008"},{"key":"b11-0260005","series-title":"AJNR Am J Neuroradiol","first-page":"385","article-title":"The vascular plug: a new device for parent artery occlusion","volume":"28","author":"Ross","year":"2007"},{"key":"b12-0260005","series-title":"J Vasc Interv Radiol","first-page":"459","article-title":"Amplatzer-onyx sandwich: a method for impermeable proximal cerebral vessel occlusion","volume":"19","author":"Schirmer","year":"2008"},{"key":"b13-0260005","series-title":"Neuroradiology","first-page":"795","article-title":"Vascular plug for ICA occlusion in cavernous carotid aneurysms: technical note","volume":"50","author":"Scott","year":"2008"},{"key":"b1-0260005","series-title":"J Trauma","first-page":"574","article-title":"Endovascular management of penetrating vertebral artery injuries","volume":"53","author":"Albuquerque","year":"2002"},{"key":"b2-0260005","series-title":"Surg Neurol","first-page":"136","article-title":"Traumatic aneurysms and arteriovenous fistulas of the extracranial vessels in war injuries","volume":"53","author":"Amirjamshidi","year":"2000"},{"key":"b3-0260005","series-title":"Neuroradiology","first-page":"179","article-title":"Neuroapplication of Amplatzer vascular plug: a novel device for parent artery occlusion","volume":"50","author":"Geyik","year":"2008"},{"key":"b4-0260005","series-title":"Neuroradiology","first-page":"709","article-title":"Closing the gap between coil and balloon in the neurointerventional armamentarium? 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