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J Cerebrovasc Endovasc Neurosurg.  2015 Sep;17(3):227-233. 10.7461/jcen.2015.17.3.227.

Double Stent Assist Coiling of Ruptured Large Saccular Aneurysm in Proximal Basilar Artery Fenestration

Affiliations
  • 1Department of Neurosurgery, Hallym University College of Medicine, Seoul, Korea.
  • 2Cerebrovascular center, Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. jaehoonsung@gmail.com

Abstract

Basilar artery fenestration is infrequent and even rarer in association with a large aneurysm. With proximity to brain stem and vital perforators, endovascular coiling can be considered first. If the large ruptured aneurysm with a wide neck originated from fenestra of the proximal basilar artery and the fenestration loop has branches of posterior circulation, therapeutic consideration should be thorough and fractionized. We report endovascular therapeutic details for a case of a ruptured large saccular aneurysm in proximal basilar artery fenestration.

Keyword

Intracranial aneurysm; Fenestration; Endovascular coil; Stents

MeSH Terms

Aneurysm*
Aneurysm, Ruptured
Basilar Artery*
Brain Stem
Intracranial Aneurysm
Neck
Stents*
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