{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:40:54Z","timestamp":1790185254528,"version":"4.1.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>A 46-year-old woman presented with acute head and neck pain for 10\u2005h. Head CT showed subarachnoid hemorrhage (SAH) and digital subtraction angiography (DSA) identified a ruptured dissected aneurysm of the right vertebral artery with severe artery stenosis. Moreover, an unruptured dissecting aneurysm and severe vascular stenosis were also found in the left vertebral artery. How to deal with ruptured bleeding aneurysm and prophylactically deal with contralateral unruptured dissecting aneurysm and the stenosis of the vertebral artery has become a thorny problem. By adopting the Transmountain technique, we used a single Enterprise-2 stent to cover the neck of the right ruptured vertebral artery dissection aneurysm and the severe stenosis of the distal vessel, while bypassing the vertebrobasilar artery junction to continue covering the severe stenosis and the unruptured dilated dissection of the contralateral vertebral artery. This new stent-assisted approach may provide a reference for clinicians in the treatment of complex dissection aneurysms.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1442122","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T06:47:58Z","timestamp":1739774878000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Stent-assisted coil embolization of ruptured vertebral artery dissected aneurysm with severe stenosis of bilateral vertebral artery V4 segment by the transmountain technique: a case report and review of the literatures"],"prefix":"10.3389","volume":"12","author":[{"given":"Guangzhi","family":"Hao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuwei","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Huan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushu","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyang","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guobiao","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1177\/15910199221095789","article-title":"Endovascular treatments of intracranial vertebral and internal carotid arteries dissections: an interactive systematic review and meta-analysis","volume":"30","author":"Essibayi","year":"2024","journal-title":"Interv Neuroradiol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1136\/svn-2020-000376","article-title":"Endovascular treatment of bilateral intracranial vertebral artery aneurysms: an algorithm based on a 10-year neurointerventional experience","volume":"5","author":"Zhang","year":"2020","journal-title":"Stroke Vasc Neurol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1227\/neu.0000000000002384","article-title":"Stent-Assisted coil embolization versus flow-diverting stent in unruptured vertebral artery dissecting aneurysms: efficacy and safety comparison","volume":"93","author":"Oh","year":"2023","journal-title":"Neurosurgery"},{"key":"B4","doi-asserted-by":"publisher","first-page":"101526","DOI":"10.1016\/j.neuchi.2023.101526","article-title":"Spontaneous intracranial vertebral artery dissections presenting with subarachnoid hemorrhage","volume":"70","author":"Chaalala","year":"2024","journal-title":"Neurochirurgie"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1645","DOI":"10.1007\/s00701-022-05223-9","article-title":"Symptomatic ischemic complications following endovascular treatment of vertebral artery dissecting aneurysms","volume":"164","author":"Lee","year":"2022","journal-title":"Acta Neurochir (Wien)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1136\/neurintsurg-2022-018744","article-title":"Morphological characteristics associated with ruptured intracranial vertebral artery dissecting aneurysms","volume":"15","author":"Han","year":"2023","journal-title":"J Neurointerv Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e375","DOI":"10.1016\/j.wneu.2021.12.057","article-title":"Microsurgical treatment of vertebral artery dissection: surgical strategies and treatment outcomes","volume":"159","author":"Durongwatana","year":"2022","journal-title":"World Neurosurg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1177\/159101990300900211","article-title":"Rebleeding and ischemia after acute endovascular treatment of ruptured dissecting subarachnoid vertebral artery aneurysms","volume":"9","author":"Mangiafico","year":"2003","journal-title":"Interv Neuroradiol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1177\/159101991001600110","article-title":"Delayed thrombosis of the basilar artery after stenting for a basilar trunk dissection aneurysm. A case report and review of the literature","volume":"16","author":"Liu","year":"2010","journal-title":"Interv Neuroradiol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"324","DOI":"10.25259\/SNI_517_2023","article-title":"Early recanalization and vasospasm after endovascular treatment in a case of ruptured vertebral artery dissecting aneurysm associated with COVID-19","volume":"14","author":"Nakamura","year":"2023","journal-title":"Surg Neurol Int"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e35906","DOI":"10.1097\/MD.0000000000035906","article-title":"Vertebral artery dissection aneurysm in a pediatric patient: a rare case with unusual clinical manifestations, diagnostic, and management challenges","volume":"102","author":"Oshi","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"B12","doi-asserted-by":"publisher","first-page":"121","DOI":"10.25259\/SNI_125_2024","article-title":"A case of bilateral vertebral artery dissection treated by bilateral surgical occlusion and low-flow bypass","volume":"15","author":"Yokoyama","year":"2024","journal-title":"Surg Neurol Int"},{"key":"B13","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.jocn.2019.07.016","article-title":"Vertebral artery dissection in sport: expert opinion of mechanisms and risk-reduction strategies","volume":"68","author":"Saw","year":"2019","journal-title":"J Clin Neurosci"},{"key":"B14","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1136\/neurintsurg-2020-017089","article-title":"Endovascular treatment of vertebral artery dissecting aneurysms: a 20-year institutional experience","volume":"14","author":"Catapano","year":"2022","journal-title":"J Neurointerv Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"124","DOI":"10.25259\/SNI_19_2022","article-title":"Reconstructive embolization for contralateral vertebral artery dissecting aneurysm that developed after internal trapping of ruptured vertebral artery dissection: a case report and literature review","volume":"13","author":"Masuko","year":"2022","journal-title":"Surg Neurol Int"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1977","DOI":"10.1016\/j.radcr.2022.03.065","article-title":"Early spontaneous occlusion of a vertebral artery dissecting aneurysm caused by subarachnoid hemorrhage: a case report","volume":"17","author":"Suyama","year":"2022","journal-title":"Radiol Case Rep"},{"key":"B17","doi-asserted-by":"publisher","first-page":"69","DOI":"10.2147\/NDT.S184372","article-title":"Treatment of acute thromboembolic complication after stent-assisted coil embolization of ruptured intracranial aneurysm: a case report","volume":"15","author":"Xu","year":"2019","journal-title":"Neuropsychiatr Dis Treat"},{"key":"B18","doi-asserted-by":"publisher","first-page":"3427","DOI":"10.1007\/s10143-022-01857-6","article-title":"The optimal management of ruptured basilar artery dissecting aneurysms: a case series and scoping review","volume":"45","author":"Oya","year":"2022","journal-title":"Neurosurg Rev"},{"key":"B19","doi-asserted-by":"publisher","first-page":"265","DOI":"10.5797\/jnet.ra.2020-0150","article-title":"Endovascular treatment of intracranial vertebral artery dissection","volume":"15","author":"Chung","year":"2021","journal-title":"J Neuroendovasc Ther"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1442122\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T06:48:05Z","timestamp":1739774885000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1442122\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,17]]},"references-count":19,"alternative-id":["10.3389\/fsurg.2025.1442122"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1442122","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,17]]},"article-number":"1442122"}}