Direct V3 Vertebral Artery Access for Embolization of Partially Thrombosed Fusiform Basilar Trunk Aneurysm: Technical Case Instruction.
Oper Neurosurg (Hagerstown)
; 2024 Apr 30.
Article
in En
| MEDLINE
| ID: mdl-38687092
ABSTRACT
BACKGROUND AND IMPORTANCE Fusiform vertebrobasilar aneurysms carry significant morbidity. Endovascular strategies are preferred; however, unsafe or unfeasible access can call for innovative strategies. CLINICAL PRESENTATION An octogenarian patient with an enlarging fusiform proximal basilar artery aneurysm causing a sixth nerve palsy was found to have multiple anatomic features that precluded a transradial or transfemoral endovascular approach. She was thus treated with direct microsurgical access of the V3 segment of the vertebral artery for subsequent coil embolization and flow diversion. CONCLUSION:
This case introduces a novel combined microsurgical and endovascular strategy for treating a complex partially thrombosed fusiform basilar artery aneurysm. This approach should be reserved only for patients where conventional endovascular access is dangerous or unfeasible.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Oper Neurosurg (Hagerstown)
/
Oper. neurosurg. (Online)
/
Operative neurosurgery (Online)
Year:
2024
Document type:
Article
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