Abstract:
BACKGROUND:Fenestration of the basilar artery is a segmental duplication of the vessel due to nonfusion of the embryonal arteries and is the second most common vascular disjunction. Here, we present a single case example demonstrating the utility of the temporary bridging device Comaneci as a new option in the endovascular treatment of ruptured basilar artery aneurysms associated with fenestrations. CASE DESCRIPTION:A 57-year-old female patient presented to our hospital with a 3-month history of frequent multiple sentinel severe headaches. At the time of hospitalization, the patient was neurologically intact with a Glasgow Coma Scale score of 15. There was no evidence of focal neurologic deficits or cranial nerve lesions, but there was discrete neck stiffness and a diagnosed saccular aneurysm associated with a fenestration of the basilar artery. After multidisciplinary discussion involving neurosurgeons and interventional neuroradiologists and taking into consideration the patient's clinical presentation and previous history of subarachnoid hemorrhage, as well as the morphology of the posterior circulation aneurysm, endovascular treatment of the basilar fenestration aneurysm was deemed appropriate or simply use was chosen. CONCLUSIONS:Our case results are similar to previously published good results of endovascular coiling and add information regarding the relatively new Comaneci device, which helped to achieve considerable packing density of the aneurysmal sac. Using this device lowers the risk of peri- and postoperative complications. We believe that this technique is safer and better than the balloon-assisted and stent-assisted coiling in ruptured case scenarios of wide-neck aneurysms in the posterior circulation.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Sirakov SS,Panayotova AP,Sirakov AS,Hristov H,Minkin K,Raychev Rdoi
10.1016/j.wneu.2018.08.047subject
Has Abstractpub_date
2018-11-01 00:00:00pages
306-310eissn
1878-8750issn
1878-8769pii
S1878-8750(18)31830-8journal_volume
119pub_type
杂志文章abstract:BACKGROUND:The introduction of image-guided methods to bypass surgery has resulted in optimized preoperative identification of the recipients and excellent patency rates. However, the recently presented methods have also been resource-consuming. In the present study, we have reported a cost-efficient planning workflow ...
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journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 临床试验,杂志文章
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更新日期:2020-06-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2010.09.016
更新日期:2011-01-01 00:00:00
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journal_title:World neurosurgery
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doi:10.1016/j.wneu.2018.03.130
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pub_type: 杂志文章,meta分析,评审
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更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.wneu.2016.05.086
更新日期:2016-12-01 00:00:00
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doi:10.1016/j.wneu.2016.05.076
更新日期:2016-08-01 00:00:00
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pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2012.09.006
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.09.170
更新日期:2019-01-01 00:00:00
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更新日期:2019-09-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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