title: Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases.
abstract: No treatment strategy has been established for subarachnoid hemorrhages due to basilar artery (BA) trunk dissecting aneurysms. Our aim was to report our initial experience performing stent-assisted coiling (SAC) for ruptured BA dissecting aneurysms to validate the effectiveness of this treatment. We experienced four consecutive cases of ruptured dissecting BA trunk aneurysm treated with SAC between 2008 and 2014 at three institutions. Aneurysm rebleeding was prevented without causing severe brainstem ischemia in all cases. In our opinion, both the blockage of the inflow to aneurysms and the preservation of the antegrade flow of the BA can be achieved by SAC, although controversies regarding long-term stability and appropriate antiplatelet therapy remain.
authors.affiliation: Department of Neurosurgery, The University of Tokyo Hospital.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Koizumi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Shojima
authors.forename: Akira
authors.initials: A
authors.lastname: Iijima
authors.forename: Soichi
authors.initials: S
authors.lastname: Oya
authors.forename: Toru
authors.initials: T
authors.lastname: Matsui
authors.forename: Gakushi
authors.initials: G
authors.lastname: Yoshikawa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Nakatomi
authors.forename: Nobuhito
authors.initials: N
authors.lastname: Saito
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents