Journal article
Treatment of basilar tip aneurysms with horizontal PCA to PCA stent-assisted coiling: case series
Journal of neurointerventional surgery, Vol.5(3), pp.212-216
05/2013
DOI: 10.1136/neurintsurg-2012-010301
PMID: 22453336
Abstract
Backgroun and objective Coiling of wide-necked basilar tip aneurysms is technically challenging and is often assisted by the placement of a stent. Stent placement in an anterograde fashion either with a single or Y-stent is typical. However, in some cases the posterior cerebral artery (PCA) angle of origin at the base of the aneurysm precludes anterograde catheterization. A series of patients with wide-necked basilar tip aneurysms treated with a single stent placed via the posterior communicating artery from PCA to PCA is presented. Methods A retrospective database review was performed to identify all stent-coiled basilar tip aneurysms. Patients with attempted horizontal P1–P1 stenting via the posterior communicating artery were identified. Procedural imaging, follow-up angiography and clinical notes were reviewed. Results P1–P1 stenting was attempted in 10 patients and was successful in eight. Angiographic follow-up was available in six patients, all of whom had >90% obliteration at last follow-up. There was one procedure-related subarachnoid hemorrhage that resulted in patient death. There were no cases of significant PCA stenosis on angiographic follow-up. Conclusions This stenting technique is an effective way to treat wide-necked basilar tip aneurysms but is limited by the anatomy of the posterior communicating arteries and P1 segments.
Details
- Title: Subtitle
- Treatment of basilar tip aneurysms with horizontal PCA to PCA stent-assisted coiling: case series
- Creators
- Spiros L Blackburn - Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USAYasha Kadkhodayan - Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USAEugenia Shekhtman - Department of Neurosurgery, New York University, New York, New York, USAColin P Derdeyn - Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USADeWitte T Cross - Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USAChristopher J Moran - Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri, USA
- Resource Type
- Journal article
- Publication Details
- Journal of neurointerventional surgery, Vol.5(3), pp.212-216
- DOI
- 10.1136/neurintsurg-2012-010301
- PMID
- 22453336
- ISSN
- 1759-8478
- eISSN
- 1759-8486
- Language
- English
- Date published
- 05/2013
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984020638502771
Metrics
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