scholarly journals Spontaneous Thrombosis of Basilar Artery Aneurysm After Subarachnoidal Hemorrhage in a Patient With Thrombophilia and Recurrent Deep Venous Thrombosis

2010 ◽  
Vol 17 (4) ◽  
pp. 348-351 ◽  
Author(s):  
Petar Vulekovic ◽  
Mladen Karan ◽  
Zeljko Kojadinovic ◽  
Vladimir Papic ◽  
Djula Djilvesi ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Spontaneous Thrombosis ◽  
Subarachnoidal Hemorrhage ◽  
Basilar Artery Aneurysm

scholarly journals Complete spontaneous thrombosis of giant upper basilar artery aneurysm: a case report

Nosotchu ◽  
2019 ◽  
Vol 41 (1) ◽  
pp. 13-18
Author(s):  
Makoto Inaba ◽  
Hiroshi Kagami ◽  
Yutaka Mine
Keyword(s):  
Case Report ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Spontaneous Thrombosis ◽  
Basilar Artery Aneurysm

Thrombosis of a Fusiform Intracranial Aneurysm Induced by Overlapping Neuroform Stents Case Report

Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. E950-E951 ◽  
Author(s):  
Sameer A. Ansari ◽  
Jeffrey P. Lassig ◽  
Ewen Nicol ◽  
B. Gregory Thompson ◽  
Joseph J. Gemmete ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Digital Subtraction ◽  
Spontaneous Thrombosis ◽  
Computed Tomographic ◽  
Basilar Artery Aneurysm ◽  
Computed Tomographic Scan ◽  
Neuroform Stent ◽  
Artery Reconstruction

Abstract OBJECTIVE To present a case of a true fusiform basilar artery aneurysm that underwent spontaneous thrombosis after placement of two overlapping Neuroform stents (Boston Scientific/Target, Fremont, CA). CLINICAL PRESENTATION A 45-year-old woman with transient syncopal episodes experienced a fall and presented to the emergency room. Incidentally, a non-contrast head computed tomographic scan and digital subtraction angiography demonstrated an unruptured, fusiform mid-basilar artery aneurysm. INTERVENTION Endovascular treatment was initiated by using a stent-assisted coil embolization technique with placement of a self-expanding, dedicated intracranial, Neuroform stent in the basilar artery across the aneurysm's fusiform neck. Attempts to access the aneurysm for coil embolization resulted in transient migration of the stent into the aneurysm sac. A second Neuroform stent was advanced in telescoping fashion for salvage and stable coverage across the entire aneurysm; therefore, coil embolization was deferred to allow stent endothelialization. After 6 weeks on dual antiplatelet therapy, the patient presented with transient ischemic symptoms suggesting top of the basilar artery syndrome. Subsequent magnetic resonance imaging scans and angiography indicated circumferential thrombus formation in the aneurysm sac but patent flow in the basilar artery. A computed tomographic scan at 6 months and digital subtraction angiography at 12 months confirmed complete thrombosis of the fusiform mid-basilar artery aneurysm with basilar artery reconstruction. CONCLUSION Overlapping Neuroform stents may induce spontaneous thrombosis of intracranial aneurysms and facilitate parent artery reconstruction through flow remodeling and stent endothelialization. Double stent placement may be a viable option in dissecting or fusiform intracranial aneurysms that are not amenable to open surgical treatment or endovascular coil embolization.

The First Description of a Basilar Artery Aneurysm Rupture in 1836

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Andreas Demetriades ◽  
Takashi Horiguchi ◽  
James Goodrich ◽  
Takeshi Kawase
Keyword(s):  
Basilar Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Basilar Artery Aneurysm

Endovascular treatment of a fusiform basilar artery aneurysm using multiple “in-stent stents”

2009 ◽  
Vol 3 (6) ◽  
pp. 496-500 ◽  
Author(s):  
R. Webster Crowley ◽  
Avery J. Evans ◽  
Neal F. Kassell ◽  
Mary E. Jensen ◽  
Aaron S. Dumont
Keyword(s):  
Basilar Artery ◽  
Pediatric Patients ◽  
Artery Aneurysm ◽  
Mass Effect ◽  
High Morbidity ◽  
Endovascular Techniques ◽  
Basilar Artery Aneurysm ◽  
Open Surgical Treatment ◽  
Cumulative Risks ◽  
Frequent Presence

Fusiform aneurysms of the basilar artery present difficult challenges for the treating physician. On one hand, these aneurysms are difficult and dangerous to treat. On the other, the relatively high rupture rate, risk of thromboemboli, and the frequent presence of mass effect on the brainstem often demand treatment rather than observation. While conservative treatment may be reasonable in an elderly patient, the relative resiliency and the larger lifetime cumulative risks of pediatric patients are compelling arguments for treatment. With the advancement of endovascular techniques some of these lesions have become treatable without the high morbidity and mortality rates associated with open surgical treatment, albeit with risks of their own. The authors present the case of a fusiform aneurysm arising from a severely tortuous basilar artery in a 22-month-old boy. The aneurysm was successfully treated using flow diversion by placing multiple intracranial stents without coil embolization. This allowed for thrombosis of the aneurysm and resolution of the mass effect on the brainstem without compromising blood flow to the brainstem.

Broad Neck Basilar Tip Aneurysm Treated by Neck Plastic Intra-Aneurysmal GDC Embolisation with Protective Balloon

1997 ◽  
Vol 3 (2) ◽  
pp. 167-170 ◽  
Author(s):  
A. Takahashi ◽  
M. Ezura ◽  
T. Yoshimoto
Keyword(s):  
Basilar Artery ◽  
Balloon Catheter ◽  
Artery Aneurysm ◽  
Detachable Coil ◽  
Guglielmi Detachable Coil ◽  
Left Posterior ◽  
Basilar Artery Aneurysm ◽  
Basilar Tip Aneurysm ◽  
Aneurysmal Neck ◽  
The Stability

A 56-year-old male was found to have a basilar artery aneurysm by magnetic resonance imaging. Angiography demonstrated a broad neck basilar tip aneurysm. He refused surgical clipping but accepted intravascular embolisation. Introducing catheters were inserted into each of the bilateral vertebral arteries. A microcatheter was introduced into the aneurysm through one of the introducing catheters and a double lumen balloon catheter was introduced into the left posterior cerebral artery (PCA) through the other. The balloon was located from the left PCA to the basilar artery across the aneurysmal neck with the aid of a guidewire passed through the inner lumen of the balloon catheter. The balloon was inflated, and a Guglielmi detachable coil (GDC) was inserted until the platinum part was placed inside the aneurysm. The balloon was deflated to confirm the stability of the GDC, and then the GDC was electrically detached. This procedure was repeated until nine GDCs were successfully inserted. The aneurysm was tightly embolised despite its broad neck. Angiography comfirmed complete neck closure and stable preservation of the basilar artery and bilateral PCAs immediately, 1 week, 3 months, 6 months, and 12 months after embolisation without evidence of thrombo-embolic complications. Neck plastic intra-aneurysmal GDC embolisation using a protective balloon can be used to treat broad-neck aneurysms.

Giant basilar artery aneurysm causing bulbar palsy and hydrocephalus

BMJ ◽  
2018 ◽  
pp. k2508
Author(s):  
Ursalan Khan ◽  
Christos Tolias
Keyword(s):  
Basilar Artery ◽  
Artery Aneurysm ◽  
Bulbar Palsy ◽  
Basilar Artery Aneurysm
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