Wenderoth Jason D, Khangure Makhan S, Phatouros Constantine C, ApSimon H Trevor
Interventional Neuroradiology Unit, Royal Perth Hospital, Wellington Street, Perth, WA 6000, Australia.
AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1226-9.
Giant and fusiform aneurysms of the basilar artery (BA) are difficult to manage surgically, and they still present a challenge for the neurosurgeon despite progress in posterior fossa surgery. Guglielmi detachable coils have provided an alternative approach to treatment, but they have their own difficulties. We present a series of three patients with BA aneurysms treated with endovascular occlusion of the aneurysm and basilar trunk. Our experience suggests that, in select cases, BA occlusion may be not only safe but also necessary for the effective treatment of these aneurysms.
基底动脉（BA）的巨大型和梭形动脉瘤手术治疗困难，尽管后颅窝手术取得了进展，但对神经外科医生来说仍然是一项挑战。 Guglielmi可脱卸弹簧圈提供了一种替代治疗方法，但也有其自身的困难。我们报告了3例基底动脉动脉瘤患者，采用血管内闭塞动脉瘤和基底动脉主干进行治疗。我们的经验表明，在某些病例中，基底动脉闭塞不仅可能是安全的，而且对于有效治疗这些动脉瘤可能是必要的。
