Distal and proximal embolization for penetrating vertebral artery injury: illustrative case

In cases of penetrating VA injury with a retained foreign object, vascular evaluation and embolization should be considered before foreign object removal. Retrograde distal embolization via a contralateral approach, combined with proximal embolization, may be an effective strategy for preventing distal embolism and controlling hemorrhage. https://thejns.org/doi/10.3171/CASE25435.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2025-08-25
DOI
https://doi.org/10.3171/case25435
Primary Topic
Traumatic Ocular and Foreign Body Injuries
Type
article
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article

Distal and proximal embolization for penetrating vertebral artery injury: illustrative case

Hiroyuki Ikeda, Minami Uezato, Haruki Yamashita, Natsuki Akaike et al.
Journal of Neurosurgery Case Lessons
Traumatic Ocular and Foreign Body Injuries
article

Distal and proximal embolization for penetrating vertebral artery injury: illustrative case

Hiroyuki Ikeda, Minami Uezato, Haruki Yamashita, Natsuki Akaike, Masaki Chin, Yoshitaka Kurosaki, Masanori Kinosada
article en

Abstract

In cases of penetrating VA injury with a retained foreign object, vascular evaluation and embolization should be considered before foreign object removal. Retrograde distal embolization via a contralateral approach, combined with proximal embolization, may be an effective strategy for preventing distal embolism and controlling hemorrhage. https://thejns.org/doi/10.3171/CASE25435.

Journal of Neurosurgery Case LessonsVol. 10(8)
Kurashiki Central Hospital (JP)
Openalex Percentile: Top 65%
Traumatic Ocular and Foreign Body Injuries
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