Embolization of Basilar Tip Aneurysm via Ascending Cervical Artery

Unusual vascular anatomy can present treatment challenges as traditional approaches may be unfeasible. In this case we describe a patient who presented with subarachnoid hemorrhage due to a ruptured basilar apex aneurysm, with an occluded left vertebral artery and severely stenotic right vertebral a...

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Bibliographic Details
Published in:World neurosurgery 2020-08, Vol.140, p.262-266
Main Authors: Munger, Daniel, O'Neill, Brannan, Priest, Ryan
Format: Article
Language:English
Subjects:
Aneurysm
Angiography
Catheter
Hemorrhage
Subarachnoid
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Summary:Unusual vascular anatomy can present treatment challenges as traditional approaches may be unfeasible. In this case we describe a patient who presented with subarachnoid hemorrhage due to a ruptured basilar apex aneurysm, with an occluded left vertebral artery and severely stenotic right vertebral artery. Coil embolization was performed via catheterization of an ascending cervical artery, with a successful clinical and radiographic outcome. This demonstrates novel use of an endovascular technique in the setting of multiple vascular pathologies.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2020.04.163