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Treatment of wide-necked basilar tip aneurysm not amenable to Y-stenting using the PulseRider device.


ABSTRACT: Endovascular treatment of broad-necked bifurcation aneurysms remains challenging. Stent-assisted coiling has been successful but requires catheterization of the branches off the parent vessel. We present the case of a patient who failed primary and stent-assisted coiling of a large basilar tip aneurysm because the morphology of the aneurysm precluded successful distal catheterization of the posterior cerebral artery (PCA) branches. Using the PulseRider device, which does not require catheterization of bifurcation branches, we were able to treat the aneurysm successfully.

SUBMITTER: Sheth SA 

PROVIDER: S-EPMC4513504 | biostudies-other | 2015 Jul

REPOSITORIES: biostudies-other

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Treatment of wide-necked basilar tip aneurysm not amenable to Y-stenting using the PulseRider device.

Sheth Sunil A SA   Patel Nirav S NS   Ismail Ameera F AF   Freeman Dena D   Duckwiler Gary G   Tateshima Satoshi S  

BMJ case reports 20150721


Endovascular treatment of broad-necked bifurcation aneurysms remains challenging. Stent-assisted coiling has been successful but requires catheterization of the branches off the parent vessel. We present the case of a patient who failed primary and stent-assisted coiling of a large basilar tip aneurysm because the morphology of the aneurysm precluded successful distal catheterization of the posterior cerebral artery (PCA) branches. Using the PulseRider device, which does not require catheterizat  ...[more]

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