Transfundal stent placement for treatment of complex basilar tip aneurysm: technical note

Abstract

We describe a case where a complex unruptured basilar tip aneurysm was treated with a unique method of stent-assisted coil embolization. The aneurysm was considered to have a complex anatomy since both the left posterior cerebral artery and left superior cerebellar artery originated from the dome of the aneurysm. Also, the right posterior cerebral artery was incorporated in the aneurysm neck and needed to be protected prior to coil embolization. This case describes placement of a stent across the span of the aneurysm fundus in order to preserve the two branches arising from it, and the aneurysm dome was coiled without any complication. Using modifications of existing strategies for stent-assisted coil embolization, the aneurysm was treated without any complications and all of the vessels at risk were preserved.

The role of endovascular treatment in unruptured basilar tip aneurysms

“…The PulseRider device could also offer an alternative means for stent-assisted coiling that allows for tight coil packing without the need to catheterize the branch vessels. 23,24 More data and experience are needed.…”