{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T11:40:19Z","timestamp":1772278819260,"version":"3.50.1"},"reference-count":12,"publisher":"Korean Society of Cerebrovascular Surgeons\/Korean Society of Endovascular Surgery","issue":"3","license":[{"start":{"date-parts":[[2021,8,13]],"date-time":"2021-08-13T00:00:00Z","timestamp":1628812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["the-jcen.org"],"crossmark-restriction":true},"short-container-title":["J Cerebrovasc Endovasc Neurosurg"],"published-print":{"date-parts":[[2021,9,30]]},"abstract":"<jats:p>Vertebral artery injuries account for approximately 19% of cerebral vascular injuries and are typically managed conservatively. However, some patients require operative intervention to gain control of an active hemorrhage, either via surgical ligation or endovascular intervention. We present a case of iatrogenic vertebral artery injury occurring during cervical spine surgery which was treated emergently with a self-expanding covered stent. A 58-year-old male presented for cervical traction, C5 and C6 corpectomy, and possible C4 to T2 posterior fusion following a motor vehicle accident. Intraoperatively, following drilling the C5 endplate, copious bleeding was observed from injury to the right vertebral artery resulting in pseudoaneurysm formation. The patient was loaded with ticagrelor and a self-expanding covered stent was placed via a transfemoral approach, resulting in obliteration of the pseudoaneurysm prior to completion of his cervical spine surgery. Emergent self-expanding covered stent placement for iatrogenic vertebral artery injury in the setting of an intraoperative injury is a safe and effective option. Ticagrelor is a viable alternative to traditional dual antiplatelet therapy for preventing thromboembolic complications in this urgent setting.<\/jats:p>","DOI":"10.7461\/jcen.2021.e2021.03.006","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T23:35:15Z","timestamp":1628811315000},"page":"266-271","update-policy":"https:\/\/doi.org\/10.7461\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Self-expanding covered stent placement to treat a pseudoaneurysm caused by iatrogenic vertebral artery injury"],"prefix":"10.7461","volume":"23","author":[{"given":"Michael J","family":"Gigliotti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandip","family":"Savaliya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abraham","family":"Schlauderaff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P","family":"Kelleher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7456-7507","authenticated-orcid":true,"given":"Kevin M","family":"Cockroft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4334","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.11.057"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20190051"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830126"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.01.050"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.109.919456"},{"key":"ref6","first-page":"320","volume-title":"A single center initial experience","author":"Safety and efficacy","year":"2014"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2007.02.017"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3171\/2017.5.jns162307"},{"key":"ref9","first-page":"1320","volume-title":"Heparin-bonded covered stents versus bare-metal stents for complex femoropopliteal artery lesions: the randomized VIASTAR trial (Viabahn endoprosthesis with PROPATEN bioactive surface [VIA] versus bare nitinol stent in the treatment of long lesions in superficial femoral artery occlusive disease)","author":"Lammer","year":"2013"},{"key":"ref10","first-page":"236","volume-title":"Vertebral artery trauma: acute recognition and treatment","author":"Meier","year":"1981"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.10.004"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1989.01410100034007"}],"container-title":["Journal of Cerebrovascular and Endovascular Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/the-jcen.org\/upload\/pdf\/jcen-2021-e2021-03-006.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/the-jcen.org\/journal\/view.php?doi=10.7461\/jcen.2021.E2021.03.006","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/the-jcen.org\/upload\/pdf\/jcen-2021-e2021-03-006.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T04:18:31Z","timestamp":1633407511000},"score":1,"resource":{"primary":{"URL":"http:\/\/the-jcen.org\/journal\/view.php?doi=10.7461\/jcen.2021.E2021.03.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,30]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"URL":"https:\/\/doi.org\/10.7461\/jcen.2021.e2021.03.006","relation":{},"ISSN":["2234-8565","2287-3139"],"issn-type":[{"value":"2234-8565","type":"print"},{"value":"2287-3139","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,30]]},"assertion":[{"value":"2020-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-13","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}