Journal of Cerebrovascular and Endovascular Neurosurgery  2015;17(3):227-233

doi:10.7461/jcen.2015.17.3.227

Double Stent Assist Coiling of Ruptured Large Saccular Aneurysm in Proximal Basilar Artery Fenestration.

Woong Bae PARK 1 ; Jae Hoon SUNG ; Joon HUH ; Chul Bum CHO ; Seung Ho YANG ; Il Sup KIM ; Jae Taek HONG ; Sang Won LEE

Affiliations

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Keywords

Intracranial aneurysm; Fenestration; Endovascular coil; Stents

Country

Republic of Korea

Language

English

Abstract

Basilar artery fenestration is infrequent and even rarer in association with a large aneurysm. With proximity to brain stem and vital perforators, endovascular coiling can be considered first. If the large ruptured aneurysm with a wide neck originated from fenestra of the proximal basilar artery and the fenestration loop has branches of posterior circulation, therapeutic consideration should be thorough and fractionized. We report endovascular therapeutic details for a case of a ruptured large saccular aneurysm in proximal basilar artery fenestration.