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X-Configuration Stent-Assisted Coiling

Authors
Publisher
Elsevier Inc.
Publication Date
Volume
74
Issue
1
Identifiers
DOI: 10.1016/j.wneu.2010.02.004
Keywords
  • Angiography
  • Basilar Artery Fenestration
  • Stent-Assisted Coil Embolization
Disciplines
  • Biology
  • Medicine

Abstract

Background Proximal basilar artery aneurysms are rare and when they occur they are often found in association with a fenestrated basilar artery. These lesions are often amenable to treatment by endovascular techniques Case Description A 48-year-old woman with a proximal basilar artery aneurysm was treated by reconstructing the fenestrated basilar artery, placing two stents in an X-configuration, and subsequent coiling of the wide-necked aneurysm. The lesion was successfully coiled without new neurological deficit and there was no recanalization at 15 month follow-up. Conclusions Reconstructing the fenestrated basilar artery with two stents in an X-configuration allows coiling of wide-necked aneurysms and is preferable to sacrificing a limb of the fenestrated basilar artery due to possibility of a physiologic significant branch off of the sacrificed limb.

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