rss
J NeuroIntervent Surg 2:237-241 doi:10.1136/jnis.2010.002519
  • Open surgery

Treatment of coil embolization failed recurrent giant basilar tip aneurysms with bypass and surgical occlusion

  1. Laligam N Sekhar1,2
  1. 1Department of Neurosurgery, University of Washington, Seattle, Washington, USA
  2. 2Department of Radiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Laligam N Sekhar, Professor and Vice-Chairman, Department of Neurological Surgery, Professor, Department of Radiology, University of Washington, Seattle, WA 98104, USA; lsekhar{at}uw.edu
  • Received 4 March 2010
  • Revised 7 May 2010
  • Accepted 10 May 2010
  • Published Online First 2 August 2010

Abstract

Giant basilar tip aneurysms are a challenge to treat because of the complex anatomy and critical vessels that arise in this region. For large aneurysms, with multiple recurrences after coiling, when microsurgical clipping is not possible, a bypass to the posterior cerebral artery (PCA) can be helpful in providing definitive treatment. Two patients with giant basilar tip aneurysms were treated with bypass to the PCA. One patient had a microsurgical clipping and the other had a proximal occlusion of the basilar artery along with the bypass. Long-term angiographic and clinical follow-up was obtained. One patient had marked improvement in symptoms and a stable aneurysm remnant and the other patient had complete occlusion. Surgical treatment with a bypass to the PCA, with clipping of the aneurysm or proximal ligation of the basilar artery can be an effective treatment option for giant basilar tip aneurysms.

Keywords:

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval This study was conducted with the approval of the Institutional review board, University of Washington.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Received 4 March 2010
  • Revised 7 May 2010
  • Accepted 10 May 2010
  • Published Online First 2 August 2010

 

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of JNIS.
View free sample issue >>

Access to JNIS


The Journal of NeuroInterventional Surgery forms part of the subscription to JNNP for both institutions and individuals. Individuals may subscribe separately to JNIS in print and/or Online: Subscribe here

SNIS members receive JNIS in print and can access the journal online via the members' area of the SNIS website

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.



SNIS logo



Navigate This Article