Direct V3 Vertebral Artery Access for Embolization of Partially Thrombosed Fusiform Basilar Trunk Aneurysm: Technical Case Instruction.
| Autor: | Nguyen VN; Department of Neurosurgery, University of Southern California, Los Angeles , California , USA., Demetriou AN, Dallas J, Lin M, Fujii T, Gogia AS, Rennert RC, Atai NA, Abedi A, Russin JJ, Mack WJ |
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| Jazyk: | angličtina |
| Zdroj: | Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2024 Nov 01; Vol. 27 (5), pp. 647-655. Date of Electronic Publication: 2024 Apr 30. |
| DOI: | 10.1227/ons.0000000000001186 |
| Abstrakt: | 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. (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.) |
| Databáze: | MEDLINE |
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