Y-configured
Stent with a Double Microcatheter
Technique for Ruptured
Complex Basilar Tip Aneurysm.
A Case Report
JH
Ko,YJ
Kim,
CS
Cho
SUMMARY – A
79-year-old
woman
had
a
sudden
onset
severe
headache
and
became
somnolent.
On
the
first
day
in
the
hospital,
diagnostic
cerebral
angiography
revealed
a
small
broad-necked
basilar
tip
aneurysm
with
a
bleb
near
the
neck.
Due
to
the
unfavorable
configuration
of
aneurysm,
we
decided
to
use
a
Y-configured
stent
with
a
double
microcatheter
technique.
Although
procedural
rupture
on
the
bleb
near
the
neck
occurred,
perioperative
neurological
state
was
not
changed
and
her
clinical
course
was
uneventful.
Because
of
the
stent,
complete
packing
of
the
aneurysm
was
possible,
hemodynamic
stress
at
the
inflow
area
was
reduced
and
consequently
the
chance
of
rebleeding
may
decrease.
Stenting
with
a
double
microcatheter
technique
can
be
an
effective
treatment
for
highly
complex
intracranial
aneurysms.
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