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Iatrogenic segmental artery aneurysmal hemorrhage: diagnosis, management, and prognosis: Case report and review of the literature

Seyed Reza Mousavi, Ahmad Tahamy, Ali Kazeminezhad, Alireza Rasekhi, Ehsan Mohammad Hosseini, Majid Reza Farrokhi*

Objective: Segmental arteries are responsible for a remarkable part of the spinal circulation and aneurysmal rupture of these arteries and their branches might happen in rare cases.

Summary of background data: Here we report a unique iatrogenic segmental Artery Aneurysmal injury with the possibility of a thrombosed aneurysm, successfully treated with endovascular catheter-directed glue administration.

Methods: In this study, we would review the literature on the diagnosis, management, and prognosis of segmental Artery Aneurysmal injuries. Lower back pain and neurologic impairments are the most common symptoms of segmental Artery aneurysms.

Results: In most situations, MRI is the primary diagnostic option; however, depending on the patient's health, a brain CT scan and lumbar puncture may be required. Lumbar puncture and CT scan may indicate SAH in the case of ruptured ones. Spinal angiography that include both subclavian and vertebral and sacral artery provide for the most reliable identification of segmental artery aneurysm. Treatment is tailored to the individual, with conservative, surgical, and endovascular options available.

Conclusion: Endovascular therapy with catheter-directed adhesive application appears to be safe.