A novel endovascular treatment of a wide-necked basilar apex aneurysm by using a Y-configuration, double-stent technique.
Wide-necked bifurcation aneurysms remain a formidable challenge to the neuroendovascular surgeon. A 36-year-old woman with a wide-necked basilar bifurcation aneurysm was unsuccessfully treated by endovascular methods, despite the use of the balloon-remodeling technique. Successful coiling was ultimately achieved by use of a Y-configuration double stent-assisted technique. This novel method of using self-expanding stents may represent a significant advance in the management of basilar apex and other bifurcation aneurysms.
Chow
Michael M
MM
Department of Neurosurgery, Section of Neuroradiology, Cleveland Clinic Foundation, S-80, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Woo
Henry H
HH
Masaryk
Thomas J
TJ
Rasmussen
Peter A
PA
D000328:Adult; D001488:Basilar Artery / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D019233:Retreatment; D015607:Stents; D017211:Treatment Failure