title: Transcirculation balloon-assisted stent-supported coil embolization of a basilar tip aneurysm.
abstract: We present the case of a balloon-assisted, stent-supported coil embolization of a basilar tip aneurysm. Initially, a balloon extending from the basilar artery into the right PCA was placed. However, even with a more proximal purchase, coils were found to impinge on the left PCA. Subsequently, a transcirculation approach was performed, where the left posterior communicating artery was utilized as a conduit for balloon support and the coils were embolized from the ipsilateral vertebral artery. However, after this transcirculation approach was completed, there was a coil tail extruding from the aneurysm. The balloon was then removed over an exchange wire and a horizontal stent advanced, spanning the entire neck of the aneurysm, eliminating the extruded coil. The video can be found here: http://youtu.be/bMbtZoPnYvo .
authors.affiliation: Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina; and.
authors.forename: Vijay
authors.initials: V
authors.lastname: Agarwal
authors.forename: Ali
authors.initials: A
authors.lastname: Zomorodi
authors.forename: Cameron
authors.initials: C
authors.lastname: Mcdougal
authors.forename: Ranjith
authors.initials: R
authors.lastname: Babu
authors.forename: Adam
authors.initials: A
authors.lastname: Back
authors.forename: L Fernando
authors.initials: LF
authors.lastname: Gonzalez
mesh_terms: D021721:Balloon Occlusion / Q000295:instrumentation / Q000379:methods*; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation / Q000502:physiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome
keywords: aneurysm; basilar tip; embolization; stent assisted; transcirculation; video