Endovascular treatment of basilar aneurysms.

Abstract

Basilar artery aneurysms account for a small percentage of intracranial aneurysms; however, they are a diverse group of lesions necessitating different treatment techniques for those that are ruptured and unruptured. Basilar apex aneurysms are the most common type and are frequently wide-necked, necessitating stent-assisted coiling or balloon remodeling. Other techniques have evolved to forego stenting in acutely ruptured wide-necked aneurysms. The prevention of delayed thromboembolic complications with dual antiplatelet therapy in patients with stents is critical. After treatment, basilar aneurysms require close follow-up to ensure complete occlusion. Basilar apex aneurysms often require delayed re-treatment, especially when previously ruptured.

• Authors: Evan S Marlin, Daniel S Ikeda, Andrew Shaw, Ciarán J Powers, Eric Sauvageau
• Journal: Neurosurgery clinics of North America (Neurosurg Clin N Am) Vol. 25 Issue 3 Pg. 485-95 (Jul 2014) ISSN: 1558-1349 [Electronic] United States
• PMID: 24994086 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2014 Elsevier Inc. All rights reserved.

Topics

• Adult
• Basilar Artery (diagnostic imaging, pathology)
• Cerebellum (blood supply, pathology)
• Endovascular Procedures
• Female
• Humans
• Intracranial Aneurysm (diagnostic imaging, pathology, surgery)
• Male
• Middle Aged
• Radiography