Direct V3 Vertebral Artery Access for Embolization of Partially Thrombosed Fusiform Basilar Trunk Aneurysm: Technical Case Instruction

被引：0
|
作者：
Nguyen, Vincent N. [1 ]
Demetriou, Alexandra N. [1 ]
Dallas, Jonathan [1 ]
Lin, Michelle [1 ]
Fujii, Tatsuhiro [1 ]
Gogia, Angad S. [1 ]
Rennert, Robert C. [1 ]
Atai, Nadia A. [1 ]
Abedi, Aidin [1 ]
Russin, Jonathan J. [1 ]
Mack, William J. [1 ]
机构：
[1] Univ Southern Calif, Dept Neurosurg, Los Angeles, CA USA
来源：
OPERATIVE NEUROSURGERY | 2024年 / 27卷 / 05期
关键词：
Aneurysm; Basilar artery; Cranial neuropathy; Direct puncture; Endovascular; Flow diversion; Fusiform; Thrombosed; Vertebral artery; POSTERIOR CIRCULATION ANEURYSMS; ENDOVASCULAR TREATMENT; COIL EMBOLIZATION; OCCLUSION; PUNCTURE; BYPASS; GIANT;
D O I：
10.1227/ons.0000000000001186
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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.
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页码：647 / 655
页数：9
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