Chau Yves, Sachet Marina, Sédat Jacques
Centre Hospitalier, Universitaire de Nice, Nice, France.
Interv Neuroradiol. 2017 Oct;23(5):492-496. doi: 10.1177/1591019917720807. Epub 2017 Jul 20.
Background Aneurysms of the perforating arteries arising from the basilar artery trunk are rare and represent a therapeutic challenge. Methods A basilar perforator aneurysm was initially treated by the stent-in-stent technique. Enlargement of the aneurysm was seen on follow up and the sac was secondarily coiled using two extremely soft bare coils, delivered through a one-marker microcatheter. Results At 6 months, the patient had a modified Rankin Scale score of 0 and cerebral arteriography demonstrated complete occlusion of the lesion. Conclusions We describe, as far as we are aware, the first case of basilar perforator aneurysm occlusion using extremely soft bare coils, inserted through the mesh of two stents previously placed in the basilar trunk.
背景 基底动脉主干发出的穿支动脉动脉瘤罕见，是一种治疗挑战。方法 一例基底动脉穿支动脉瘤最初采用支架套支架技术治疗。随访时发现动脉瘤增大，随后通过单标记微导管送入两个极软裸圈对瘤囊进行了弹簧圈栓塞。结果 6个月时，患者改良Rankin量表评分为0，脑血管造影显示病变完全闭塞。结论 据我们所知，我们描述了首例通过先前置于基底动脉主干的两个支架网眼插入极软裸圈闭塞基底动脉穿支动脉瘤的病例。
