Deconstructive Endovascular Treatment of Ruptured Serpentine Basilar Artery Aneurysm by Mid-Basilar Occlusion

2021 ◽  
Vol 146 ◽  
pp. 40-44
Author(s):  
Hiroyuki Mizuno ◽  
Kazuki Wakabayashi ◽  
Tatsuya Shimizu ◽  
Yosuke Tomita ◽  
Hideaki Koga ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Basilar Artery Aneurysm ◽  
Basilar Occlusion

scholarly journals Direct Vertebral Artery Access for the Endovascular Treatment of Basilar Artery Aneurysms

2012 ◽  
Vol 18 (1) ◽  
pp. 29-32 ◽  
Author(s):  
J.R. Vanzin ◽  
L. Bambini Manzato ◽  
F. Slaviero ◽  
M. Strzelecki ◽  
R. D'Agostini Annes
Keyword(s):  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Basilar Artery ◽  
Intracranial Aneurysms ◽  
Artery Aneurysm ◽  
Cervical Region ◽  
Alternative Route ◽  
Femoral Approach ◽  
Basilar Artery Aneurysm ◽  
Access Technique

The femoral approach has been considered the preferred technique for the endovascular treatment of intracranial aneurysms. Occasionally, aneurysms are not amenable to the standard femoral approach. We describe four cases of basilar artery aneurysm that were treated by the direct vertebral artery access of V1 at the cervical region. The direct vertebral artery access technique can provide an alternative route in selected cases for the treatment of basilar artery aneurysms.

scholarly journals Follow-up of a Patient Treated by the Mechanical Detachable System (MDS) of Tungsten Spirals

2001 ◽  
Vol 7 (2) ◽  
pp. 111-114
Author(s):  
P. Kolasa ◽  
Z. Kaurzel
Keyword(s):  
Endovascular Treatment ◽  
Basilar Artery ◽  
Intracranial Aneurysms ◽  
Artery Aneurysm ◽  
Basilar Artery Aneurysm ◽  
Long Term Follow Up ◽  
Carotid Cavernous Fistulas

A case is presented of basilar artery aneurysm, to which endovascular treatment was applied, employing the mechanical detachable system (MDS) of tungsten spirals. The aim of the study was to demonstrate spiral disappearance in embolised aneurysm without recanalisation, following a long-term follow-up period — up to 42 months. During the years 1994 to 1999, about 100 intracranial aneurysms and carotid-cavernous fistulas were embolised by the use of MDS spirals. In one case, spiral disappearance was noted, that event not, however, affecting the patient's state in any way and confirmed by clinical and radiological evaluations.

scholarly journals Guidewire Tip Detachment during Stent-Assisted Coiling of an Intracranial Aneurysm

2009 ◽  
Vol 15 (1) ◽  
pp. 93-98 ◽  
Author(s):  
T. Gunnarsson ◽  
L. Da Costa ◽  
M.P.S. Souza ◽  
W. Montanera ◽  
T.R. Marotta
Keyword(s):  
Intracranial Aneurysm ◽  
Endovascular Treatment ◽  
Basilar Artery ◽  
Artery Aneurysm ◽  
Proximal Part ◽  
Electrolytic Corrosion ◽  
Basilar Artery Aneurysm ◽  
Intracranial Lesions ◽  
The Wire

Endovascular treatment of complex intracranial lesions often requires use of two different microcatheters or micro-guidewires. A basilar artery aneurysm was treated with microstent-assisted coiling. During the procedure a microwire severed and the distal platinum portion of the wire was left after unsuccessful attempts to retrieve it. The patient remains asymptomatic. The proximal part of the microwire was analyzed and additional experiments indicate that it may have detached by electrolytic corrosion.

The First Description of a Basilar Artery Aneurysm Rupture in 1836

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Andreas Demetriades ◽  
Takashi Horiguchi ◽  
James Goodrich ◽  
Takeshi Kawase
Keyword(s):  
Basilar Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Basilar Artery Aneurysm

Endovascular treatment of a fusiform basilar artery aneurysm using multiple “in-stent stents”

2009 ◽  
Vol 3 (6) ◽  
pp. 496-500 ◽  
Author(s):  
R. Webster Crowley ◽  
Avery J. Evans ◽  
Neal F. Kassell ◽  
Mary E. Jensen ◽  
Aaron S. Dumont
Keyword(s):  
Basilar Artery ◽  
Pediatric Patients ◽  
Artery Aneurysm ◽  
Mass Effect ◽  
High Morbidity ◽  
Endovascular Techniques ◽  
Basilar Artery Aneurysm ◽  
Open Surgical Treatment ◽  
Cumulative Risks ◽  
Frequent Presence

Fusiform aneurysms of the basilar artery present difficult challenges for the treating physician. On one hand, these aneurysms are difficult and dangerous to treat. On the other, the relatively high rupture rate, risk of thromboemboli, and the frequent presence of mass effect on the brainstem often demand treatment rather than observation. While conservative treatment may be reasonable in an elderly patient, the relative resiliency and the larger lifetime cumulative risks of pediatric patients are compelling arguments for treatment. With the advancement of endovascular techniques some of these lesions have become treatable without the high morbidity and mortality rates associated with open surgical treatment, albeit with risks of their own. The authors present the case of a fusiform aneurysm arising from a severely tortuous basilar artery in a 22-month-old boy. The aneurysm was successfully treated using flow diversion by placing multiple intracranial stents without coil embolization. This allowed for thrombosis of the aneurysm and resolution of the mass effect on the brainstem without compromising blood flow to the brainstem.

Broad Neck Basilar Tip Aneurysm Treated by Neck Plastic Intra-Aneurysmal GDC Embolisation with Protective Balloon

1997 ◽  
Vol 3 (2) ◽  
pp. 167-170 ◽  
Author(s):  
A. Takahashi ◽  
M. Ezura ◽  
T. Yoshimoto
Keyword(s):  
Basilar Artery ◽  
Balloon Catheter ◽  
Artery Aneurysm ◽  
Detachable Coil ◽  
Guglielmi Detachable Coil ◽  
Left Posterior ◽  
Basilar Artery Aneurysm ◽  
Basilar Tip Aneurysm ◽  
Aneurysmal Neck ◽  
The Stability

A 56-year-old male was found to have a basilar artery aneurysm by magnetic resonance imaging. Angiography demonstrated a broad neck basilar tip aneurysm. He refused surgical clipping but accepted intravascular embolisation. Introducing catheters were inserted into each of the bilateral vertebral arteries. A microcatheter was introduced into the aneurysm through one of the introducing catheters and a double lumen balloon catheter was introduced into the left posterior cerebral artery (PCA) through the other. The balloon was located from the left PCA to the basilar artery across the aneurysmal neck with the aid of a guidewire passed through the inner lumen of the balloon catheter. The balloon was inflated, and a Guglielmi detachable coil (GDC) was inserted until the platinum part was placed inside the aneurysm. The balloon was deflated to confirm the stability of the GDC, and then the GDC was electrically detached. This procedure was repeated until nine GDCs were successfully inserted. The aneurysm was tightly embolised despite its broad neck. Angiography comfirmed complete neck closure and stable preservation of the basilar artery and bilateral PCAs immediately, 1 week, 3 months, 6 months, and 12 months after embolisation without evidence of thrombo-embolic complications. Neck plastic intra-aneurysmal GDC embolisation using a protective balloon can be used to treat broad-neck aneurysms.

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