Transcirculation balloon-assisted stent-supported coil embolization of a basilar tip aneurysm

Vijay Agarwal, Ali Zomorodi, Cameron Mcdcdougal, Ranjith Babu, Adam Back, L. Fernando Gonzalez

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We present the case of a balloon-assisted, stent-supported coil embolization of a basilar tip aneurysm. Initially, a balloon extending from the basilar artery into the right PCA was placed.3 However, even with a more proximal purchase, coils were found to impinge on the left PCA. Subsequently, a transcirculation approach was performed, where the left posterior communicating artery was utilized as a conduit for balloon support and the coils were embolized from the ipsilateral vertebral artery.1 However, after this transcirculation approach was completed, there was a coil tail extruding from the aneurysm. The balloon was then removed over an exchange wire and a horizontal stent advanced, spanning the entire neck of the aneurysm, eliminating the extruded coil.

Original languageEnglish (US)
Number of pages1
JournalNeurosurgical focus
Volume37
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Aneurysm
  • Basilar tip
  • Embolization
  • Stent assisted
  • Transcirculation
  • Video

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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