Abstract
Iatrogenic arterial injuries may occur during neurosurgical procedures. Particularly, the vertebral artery may be injured in a high-level cervical spinal fusion case, either during the initial exposure or when placing screws. 1 – 3 If such an injury occurs, obtaining hemostatic control and repairing the laceration are of paramount importance. 4, 5 In this technical video, we describe the case of a patient who was undergoing a posterior C1-C2 cervical fusion when the right vertebral artery was injured due to variant anatomy. Using sutures to repair the injury was unsuccessful. Thus, we employed a technique known as crimping, which involves the use of vascular clips to pinch off the site of the tear. This technique is an improvement over existing methods given how quickly and easily it can be performed. In our technical video, we explain how to perform the crimping technique and discuss indications for its use. The patient consented to the procedure.
Supplemental Material
Footnotes
Contributorship
Kainaat Javed and Ryan Holland created the original presentation. Neil Haranhalli and David Altschul provided supervision and revised the presentation. Reza Yassari wrote the script. Ryan Holland did the voiceover while Mousa Hamad did the video editing. All authors approved of the submission.
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Ethics approval
IRB approval was not needed and consent was waived for this anonymized technical video submission. Patient consented to the procedure.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Previous presentation
This submission contains original work that has not been presented or submitted elsewhere.
Supplemental material
Supplemental material for this article is available online.
References
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
