Double-barrel stent-assisted coiling of a basilar artery fenestration aneurysm.
Double-barrel stent-assisted coiling of a basilar artery fenestration aneurysm.
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双管支架辅助弹簧圈治疗基底动脉开窗动脉瘤。
DOI：
10.1111/j.1552-6569.2012.00720.x
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Siddiqui,AdnanH
中科院分区：
文献类型：
--
作者：
Kan,Peter;Abla,AdibA;Dumont,TravisM;Snyder,KennethV;Hopkins,LNelson;Levy,EladI;Siddiqui,AdnanH
背景和假性基底动脉开窗动脉瘤是一种罕见的动脉瘤，给血管内治疗带来了独特的挑战。我们报告了一例用新型双管支架辅助弹簧圈技术成功治疗宽颈基底动脉开窗动脉瘤的病例。临床资料：50岁女性，主诉头痛。评估发现一个未破裂的7 mm宽的基底动脉开窗动脉瘤，包括双侧基底动脉开窗和两个椎动脉远端。介入支架4.5 mm×22 mm Enterprise支架(美国马萨诸塞州雷纳姆科德曼神经血管公司)从基底开窗的右侧肢体置入右侧远端椎动脉。同样，将2.5 mm×20 mm Neuroform EZ支架(波士顿科学公司，美国马萨诸塞州纳蒂克)从基底开窗的左侧肢体放置到左侧椎动脉远端。支架置入后，通过被监禁的微导管进行弹簧圈栓塞术治疗动脉瘤。结论在本病例中，双管支架结构可使致密弹簧圈栓塞动脉瘤并保留双侧基底动脉开窗肢体和椎动脉远端。
ABSTRACTBACKGROUND AND PURPOSEBasilar 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 PRESENTATIONA 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.INTERVENTIONA 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.CONCLUSIONIn 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.