Ruptured Fusiform Aneurysm of the Anterior Spinal Artery

Successful Treatment with Flow Diverter Stent Placed in the Feeding Vertebral Artery
  • C. P. Simon-Gabriel
  • H. Urbach
  • S. Meckel


Reports of anterior spinal artery (ASA) aneurysms are sparse in the English literature with only 10 cases of angiographically confirmed ruptured craniocervical ASA aneurysms (Table  1; [ 1, 2, 3, 4, 5, 6, 7, 8, 9, 10]). In this location they usually present with symptoms of intracranial subarachnoid hemorrhage (SAH). There is no general consensus on the optimal treatment strategy of ASA aneurysms. Management carries a significant risk and different strategies (e.g. surgical trapping, resection, endovascular occlusion and conservative wait and see) have been proposed in case reports or mini-series [ 5, 6, 10]. Flow diverter stents (FDS) are usually used for treatment of large or giant wide-necked sidewall or fusiform aneurysms where the aneurysm is directly covered by the FDS. Here, we describe the successful endovascular treatment of a ruptured fusiform ASA aneurysm by hemodynamic remodeling with a FDS placed in the ipsilateral vertebral artery (VA).
Table 1

Summary of...


Compliance with ethical guidelines

Conflict of interest

C. P. Simon-Gabriel has no conflicts of interest to declare. H. Urbach received honoraria for lectures from Bayer, Bracco, Stryker, UCB pharma. S. Meckel reports personal fees from Acandis GmbH & Co. KG/Germany during the course of the study; personal fees from Covidien Medtronic, Stryker and Microvention outside the submitted work.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors. Written informed consent for publication of this case report was obtained from the patient.


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© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neuroradiology, Medical CenterUniversity of FreiburgFreiburgGermany

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