Covered Stent Salvage for Iatrogenic Vertebral Artery Injury in Traumatic Cervical Spine Injury: A Case Report and Literature Review

Tzu-Hao Yen, Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan
Wei-Liang Chen, Stroke Center, China Medical University Hospital, Taichung, Taiwan
Ying-Lin Tseng, Department of Interventional and Diagnostic Neuroradiology, China Medical University Hospital,Taichung, Taiwan
You-Pen Chiu, School of Medicine, China Medical University, Taichung, Taiwan
Hui-Ru Ji, School of Medicine, China Medical University, Taichung, Taiwan
Jeng-Hung Guo, Department of Neurosurgery, China Medical University Hospital, Taichung, TaiwanFollow
Cheng-Di Chiu, Graduate Institute of Biomedical Science, China Medical University, Taichung, TaiwanFollow

Abstract

We report the case of a 70-year-old woman who sustained complex traumatic injuries in a motor vehicle accident, including cervical spine fractures and a high suspicion of traumatic vertebral artery injury (VAI). Initial digital subtraction angiography (DSA) revealed no evidence of vertebral artery (VA) involvement. She subsequently underwent anterior cervical discectomy and fusion (ACDF); however, an iatrogenic injury to the right VA occurred intraoperatively, necessitating emergent endovascular stenting for vascular repair. This case underscores the importance of comprehensive preoperative imaging, intraoperative vigilance, and coordinated multidisciplinary management in cervical spine trauma with potential vascular involvement.

Recommended Citation

Yen, Tzu-Hao; Chen, Wei-Liang; Tseng, Ying-Lin; Chiu, You-Pen; Ji, Hui-Ru; Guo, Jeng-Hung; and Chiu, Cheng-Di (2025) "Covered Stent Salvage for Iatrogenic Vertebral Artery Injury in Traumatic Cervical Spine Injury: A Case Report and Literature Review," BioMedicine: Vol. 15 : Iss. 3 , Article 6.
DOI: 10.37796/2211-8039.1670