Endovascular treatment of a basilar artery dissecting aneurysm.
Basilar artery (BA) dissecting aneurysms pose difficulties to treatment because both bleeding and thrombosis can happen in the same patient, clinical course is unpredictable and high morbidity is usual. We report the case of a 37-year-old woman with a BA aneurysm probably caused by arterial dissection, presenting embolic and hemorrhagic complications. The aneurysm was submitted to endovascular treatment with stenting and coil embolization. Clinical and radiological results were excellent and no complications were observed, suggesting that BA stenting and coil embolization may be a safe and effective treatment for this condition.
Patroclo
Cristiane Borges
CB
Departments of Neurology and Radiology, Hospital das Clínicas, São Paulo University, Avenida Dr. Enéas de Carvalho Aguiar 255, São Paulo, SP, Brazil. crispatrocio@yahoo.com.br
Puglia
Paulo
P
Leite
Claudia da Costa
Cda C
Yamamoto
Fabio Iuji
FI
Ciríaco
Jovana Gobbi Marchesi
JG
Scaff
Milberto
M
Conforto
Adriana Bastos
AB
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D001488:Basilar Artery; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D015607:Stents; D016896:Treatment Outcome