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Endovascular Treatment of a Large Partially Thrombosed Basilar Tip Aneurysm

By Young-Joon Kim and Jung Ho Ko

Abstract

Despite the remarkable developments in neurosurgical and neuro-interventional procedures, the optimal treatment for large or giant partially thrombosed aneurysms with a mass effect remains controversial. The authors report a case of a partially thrombosed aneurysm with a mass effect, which was successfully treated by stent-assisted coil embolization. A 41-year-old man presented with headache. Brain computed tomography depicted an 18×18 mm sized thrombosed aneurysm in the interpeducular cistern. More than 80% of the aneurysm volume was filled with thrombus and the canalized portion beyond its neck measured 6.8×5.6 mm by diagnostic cerebral angiography. Stent-assisted endovascular coiling was performed on the canalized sac and the aneurysm was completely obliterated. Furthermore, most of the thrombosed aneurysm disappeared in the interpeduncular cistern was clearly visualized follow-up brain magnetic resonance imaging conducted at 21 months. The authors report a case of selective coiling of a large, partially thrombosed basilar tip aneurysm

Topics: Case Report
Publisher: The Korean Neurosurgical Society
OAI identifier: oai:pubmedcentral.nih.gov:3291711
Provided by: PubMed Central
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    Citations

    1. Coiling of intracranial aneurysms : a systematic review on initial occlusion and reopening and retreatment rates.
    2. (2009). Curative reconstruction of a giant midbasilar trunk aneurysm with the pipeline embolization device. Neurosurgery 64 : 212-217; discussion 217,
    3. (1998). Do human intracranial arteries lack vasa vasorum? A comparative immunohistochemical study of intracranial and systemic arteries.
    4. (2010). Endovascular treatment of largely thrombosed saccular aneurysms : follow-up results in ten patients.
    5. (2009). Etiology of giant aneurysms and their treatment.
    6. (2003). Giant intracranial aneurysms : development, clinical presentation and treatment.
    7. (2008). Growth potential and response to multimodality treatment of partially thrombosed large or giant aneurysms in the posterior circulation.
    8. (2010). Majoie CB : Partially thrombosed intracranial aneurysms presenting with mass effect : long-term clinical and imaging follow-up after endovascular treatment.
    9. (1989). The origin and distribution of vasa vasorum at the bifurcation of the common carotid artery with atherosclerosis.

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