title: Endovascular coil embolization for ruptured kissing aneurysms associated with A1 fenestration.
abstract: BACKGROUND
  Fenestration of intracranial arteries is a rare anomaly, and is frequently associated with cerebral aneurysms. In this paper, we report rare kissing aneurysms associated with A1 fenestration.
  
  
  METHODS
  A 71-year-old woman presented with subarachnoid hemorrhage. Diagnostic digital subtraction angiography revealed two saccular aneurysms at the proximal junction of a fenestration and posterior aspect of the fenestration that appeared to be 'kissing' each other. Emergent endovascular coil embolization was performed.
  
  
  CONCLUSIONS
  Kissing aneurysms associated with fenestration of the horizontal segment in the anterior cerebral artery are rare, and have not been reported. During treatment of such specific types of aneurysms by endovascular treatment, three-dimensional rotational digital subtraction angiography was very useful for deciding the appropriate working angles.
authors: Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
authors: Takafumi
authors: T
authors: Mitsuhara
authors: Shigeyuki
authors: S
authors: Sakamoto
authors: Yoshihiro
authors: Y
authors: Kiura
authors: Kaoru
authors: K
authors: Kurisu