Nayak Manoj Kumar, Sahoo Biswajit, Mahajan Anshu, Naik Suprava, Deep Bag Nerbadyswari, Mishra Biswamohan, Dash Chinmaya
Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of Interventional Neuroradiology, Medanta The Medicity, Gurgaon, Haryana, India.
J Neurosci Rural Pract. 2024 Jan-Mar;15(1):126-129. doi: 10.25259/JNRP_423_2023. Epub 2023 Oct 31.
Fenestrated aneurysm at vertebrobasilar junction (VBJ) is very rare and can occur due to non-fusion of longitudinal neural axis forming basilar artery in the early stage of embryonic life. Due to defects in tunica media and weakness in its wall, these fenestrations are more likely to develop an aneurysm. Various treatment strategies are required for the management of these types of aneurysms including simple coiling, stent-assisted coiling, balloon remodeling technique, and more recently kissing flow diverters. Herein, we report the case of ruptured fenestrated VBJ aneurysm which was managed successfully with novel reverse Y stenting with coiling.
椎基底动脉交界处（VBJ）的有孔型动脉瘤非常罕见，可能是由于胚胎早期形成基底动脉的纵向神经轴未融合所致。由于中膜层存在缺陷且其壁薄弱，这些有孔处更容易形成动脉瘤。对于这类动脉瘤的治疗需要采用多种治疗策略，包括单纯弹簧圈栓塞、支架辅助弹簧圈栓塞、球囊重塑技术，以及最近出现的吻合血流导向装置。在此，我们报告一例破裂的有孔型VBJ动脉瘤病例，该病例通过新型反向Y形支架联合弹簧圈栓塞成功治疗。
