Korean J Radiol.  2008 Aug;9(4):371-374. 10.3348/kjr.2008.9.4.371.

Complete Obliteration of a Basilar Artery Aneurysm after Insertion of a Self-Expandable Leo Stent into the Basilar Artery without Coil Embolization

• Juszkat R
• Nowak S
• Wieloch M
• Zarzecka A

• KMID: 1076464
• DOI: http://doi.org/10.3348/kjr.2008.9.4.371

Abstract

We report a case of a 45-year-old man who underwent endovascular treatment in the acute setting of a subarachnoid hemorrhage due to rupture of a wide-necked basilar trunk aneurysm. The patient was treated with stent implantation without coiling. A control angiographic scan obtained immediately after the procedure revealed significantly decreased intraaneurysmal flow. Follow-up angiography performed after one month demonstrated total aneurysm occlusion.

Keyword

Basilar artery; Wide-necked aneurysm; Stent implantation; Endovascular treatment

MeSH Terms

Basilar Artery
Cerebral Angiography
Humans
Intracranial Aneurysm/*therapy
Male
Middle Aged
*Stents

Figure

• 

  Fig. 1 Obliteration of basilar artery aneurysm in 45-year-old man. A. Non-enhanced CT scan reveals massive subarachnoid hemorrhage (Fisher grade IV) with intraventricular hemorrhage. B. Angiogram shows wide-necked, saccular aneurysm on basilar trunk and aplasia of left P1 segment of posterior cerebral artery. C. Angiographic road map displays stent placement. D. Angiogram immediately following stent deployment shows significantly decreased intraaneurysmal flow. E. Follow-up angiogram after one month demonstrates complete occlusion of aneurysm.

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