AI Article Synopsis
- Iatrogenic vertebral artery (VA) injury is a rare but serious complication from cervical and craniocervical surgery, identified in 0.2% of patients studied.
- Of the 17 cases of VA injury, the majority occurred during C1-2 procedures, with various treatment methods employed including microsurgical repair and endovascular techniques.
- The study suggests that standardized management protocols could potentially minimize complications related to this uncommon but critical injury.
Article Abstract
Background: Iatrogenic vertebral artery (VA) injury is a rare but potentially devastating complication associated with cervical and craniocervical surgery.
Objective: To retrospectively evaluate treatment modalities and outcomes associated with iatrogenic VA injury.
Methods: Our institutional surgical database was queried for patients who underwent cervical or craniocervical surgery from January 1997 to August 2012.
Results: During this time period, 8213 patients underwent cervical or craniocervical surgery, and 17 (0.2%) cases of VA injury were identified. Eight (47%) of these injuries occurred during C1-2 instrumentation procedures. Primary microsurgical repair of the VA was performed in 5 patients. Other cases were managed by either surgical or endovascular VA occlusion. Of the 17 patients, 15 underwent immediate angiography, 9 of whom were ultimately treated by the use of endovascular techniques.
Conclusion: VA injury is an uncommon complication of cervical and/or skull base surgery. Standardized management recommendations may help reduce complications associated with these rare but potentially devastating injuries.
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| http://dx.doi.org/10.1227/01.neu.0000431468.74591.5f | DOI Listing |
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