Document Detail


Endovascular treatment with 'kissing' flow diverter stents of two unruptured aneurysms at a fenestrated vertebrobasilar junction.
MedLine Citation:
PMID:  22315285     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background and purposeFenestration of the vertebrobasilar junction (VBJ) is a rare condition which may be associated with the presence of aneurysms. The endovascular approach is usually the first-line treatment in these cases since the location of the aneurysm may be unsuitable for a surgical approach. This anatomical variation may even influence the endovascular strategy, particularly in those cases in which the sacrifice of a vessel could be avoided. This paper describes an innovative approach of flow diversion in such challenging situations.MethodsTwo women were admitted after an occasional diagnosis of an aneurysm arising from a fenestrated VBJ. In both cases the endovascular approach was performed with two flow diverter stents and dual antiplatelet therapy was administered for 6 months.ResultsComplete exclusion of the two aneurysms was obtained after 6 and 7 months, respectively, and the clinical outcome was excellent.ConclusionsEndovascular treatment of unruptured aneurysms located on a fenestrated VBJ with flow diverter stents represents a valid therapeutic approach with excellent clinical and radiological outcomes.
Authors:
Arturo Consoli; Leonardo Renieri; Sergio Nappini; Fabrizio Ricciardi; Giulia Grazzini; Giulia Scarpini; Leonardo Capaccioli; Salvatore Mangiafico
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-7
Journal Detail:
Title:  Journal of neurointerventional surgery     Volume:  -     ISSN:  1759-8486     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517079     Medline TA:  J Neurointerv Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Interventional Neuroradiology Unit, Careggi University Hospital, Florence, Italy.
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