scholarly journals A Patient with a Large Basilar Artery Aneurysm in Whom Coil Embolization Was Performed by Protruding an LVIS into the Aneurysmal Neck in a Barrel-like Shape and Preserving a Branch Vessel

2020 ◽  
Vol 14 (10) ◽  
pp. 447-453
Author(s):  
Tomoyuki Yamashita ◽  
Hiroyuki Ikeda ◽  
Ryotaro Otsuka ◽  
Sadaharu Torikoshi ◽  
Noritaka Sano ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Basilar Artery Aneurysm ◽  
Branch Vessel ◽  
Aneurysmal Neck

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.

scholarly journals Successful Coil Embolization of a Ruptured Basilar Artery Aneurysm in a Child with Leukemia: A Case Report

2014 ◽  
Vol 54 (2) ◽  
pp. 150-154 ◽  
Author(s):  
Shihori HAYASHI ◽  
Taketoshi MAEHARA ◽  
Maki MUKAWA ◽  
Masaru AOYAGI ◽  
Yoshikazu YOSHINO ◽  
...  
Keyword(s):  
Case Report ◽  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
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.

Basilar Artery Aneurysm Treated with Coil Embolization Via Persistent Primitive Trigeminal Artery

2001 ◽  
Vol 25 (1) ◽  
pp. 70-71 ◽  
Author(s):  
Ichiro Ikushima ◽  
Syoji Arikawa ◽  
Yukunori Korogi ◽  
Hisao Uehara ◽  
Yasuyuki Komohara ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Coil Embolization ◽  
Artery Aneurysm ◽  
Trigeminal Artery ◽  
Persistent Primitive Trigeminal Artery ◽  
Basilar Artery Aneurysm ◽  
Primitive Trigeminal Artery
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