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Double‐Barrel Stent‐Assisted Coiling of a Basilar Artery Fenestration Aneurysm

Kan, Peter et al.

Journal of neuroimaging. Volume 23:Issue 3 (2013); pp 496-499 -- Wiley-Blackwell

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  • Title:
    Double‐Barrel Stent‐Assisted Coiling of a Basilar Artery Fenestration Aneurysm
  • Author: Kan, Peter;
    Abla, Adib A.;
    Dumont, Travis M.;
    Snyder, Kenneth V.;
    Hopkins, L. Nelson;
    Levy, Elad I.;
    Siddiqui, Adnan H.
  • Found In: Journal of neuroimaging. Volume 23:Issue 3 (2013); pp 496-499
  • Journal Title: Journal of neuroimaging
  • Subjects: Imagerie pour le diagnostic--Périodiques; Système nerveux--Maladies--Diagnostic--Périodiques; Imagerie médicale; Neuroimagerie; Neurologie; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); Système nerveux; Diagnostic imaging--Periodicals; Nervous system--Diseases--Diagnosis--Periodicals; Dewey: 616.804754
  • Rights: legaldeposit
  • Publication Details: Wiley-Blackwell
  • Abstract: <x xml:space="preserve">Abstract</x> ABSTRACT BACKGROUND AND PURPOSE

    Basilar artery fenestration aneurysms are rare aneurysms, posing unique challenges for endovascular treatment. We report a case of successful treatment of a wide‐necked basilar artery fenestration aneurysm with a novel double‐barrel stent‐assisted coiling technique.

    CLINICAL PRESENTATION

    A 50‐year‐old woman presented with headaches. Evaluation revealed an unruptured 7‐mm broad‐based basilar artery fenestration aneurysm that incorporated both limbs of the basilar fenestration and both distal vertebral arteries.

    INTERVENTION

    A 4.5 mm × 22 mm Enterprise stent (Codman Neurovascular, Raynham, MA, USA) was deployed from the right limb of the basilar fenestration into the right distal vertebral artery. Similarly, a 2.5 mm × 20 mm Neuroform EZ stent (Boston Scientific, Natick, MA, USA) was placed from the left limb of the basilar fenestration into the left distal vertebral artery. Following stent deployment, the aneurysm was treated with coil‐embolization through a jailed microcatheter.

    CONCLUSION

    In the case presented, a double‐barrel stent configuration enabled dense coil embolization of the aneurysm as well as preservation of both basilar fenestration limbs and both distal vertebral arteries.


  • Identifier: ETOClsidyv7d569399; System Number: LDEAvdc_100024555468.0x000001; Journal ISSN: 1051-2284; 10.1111/j.1552-6569.2012.00720.x
  • Publication Date: 2013
  • Physical Description: Electronic
  • Shelfmark(s): ELD Digital store

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