Endovascular treatment of basilar tip aneurysms after direct puncture of the vertebral artery

Basilar aneurysms that are not amenable to standard endovascular treatment via the femoral approach because catheterization is difficult pose a rare but serious problem. We present two cases of basilar tip aneurysms successfully treated by the endovascular route after direct puncture of the right ve...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 1998-09, Vol.19 (8), p.1554-1556
Main Authors: Weill, A, Cognard, C, Spelle, L, Castaings, L, Moret, J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case Reports
Catheterization, Peripheral - instrumentation
Cerebral Angiography - instrumentation
Diseases of the nervous system
Embolization, Therapeutic - instrumentation
Equipment Design
Female
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - therapy
Medical sciences
Middle Aged
Needles
Punctures - instrumentation
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Vertebral Artery - diagnostic imaging
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Summary:Basilar aneurysms that are not amenable to standard endovascular treatment via the femoral approach because catheterization is difficult pose a rare but serious problem. We present two cases of basilar tip aneurysms successfully treated by the endovascular route after direct puncture of the right vertebral artery. In both patients, the left vertebral artery was tortuous, small, and irregular, and the ostium of the right vertebral artery was not accessible by the femoral approach.
ISSN:0195-6108
1936-959X