title: Successful treatment of growing basilar artery dissecting aneurysm by pipeline flow diversion embolization device.
abstract: We describe a case of successful management of a growing basilar artery dissecting aneurysm by the Pipeline flow diversion embolization device (PED). A 48-year-old woman presented with severe headache, neck pain, and altered consciousness. Computed tomography showed subarachnoid hemorrhage located in basal cisterns, with a pontine infarct shown on magnetic resonance imaging. Digital subtraction angiography showed dissecting aneurysm of the trunk of the basilar artery, with growth over time on repeated imaging. Repeated imaging demonstrated growth in size of the aneurysm. The aneurysm was treated with PED with complete obliteration of the basilar artery aneurysm. Subsequent follow-up demonstrated good clinical recovery.
authors.affiliation: Melbourne Brain Centre, University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, PR China; Department of Neurosurgery, Tianjin Neurological Institute, Tianjin, PR China; Key Laboratory of Post-trauma Neuro-repair and Regeneration in Central Nervous System, Ministry of Education, Tianjin, PR China; Tianjin Key Laboratory of Injuries, Variations and Regeneration of Nervous System, Tianjin, PR China.
authors.forename: Dasen
authors.initials: D
authors.lastname: Gong
authors.affiliation: Melbourne Brain Centre, University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Bernard
authors.initials: B
authors.lastname: Yan
authors.affiliation: Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Richard
authors.initials: R
authors.lastname: Dowling
authors.affiliation: Department of Radiology, Royal Melbourne Hospital, Parkville, Victoria, Australia. Electronic address: peter.mitchell@mh.org.au.
authors.forename: Peter
authors.initials: P
authors.lastname: Mitchell
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome
keywords: Subarachnoid hemorrhage; basilar artery; dissecting aneurysm; flow diverting stent; pipeline embolization device