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Basilar artery perforator aneurysms (BAPAs): review of the literature and classification
  1. Sudhakar R Satti1,
  2. Ansar Z Vance2,
  3. Dawn Fowler3,
  4. Anthony V Farmah4,
  5. Thinesh Sivapatham1
  1. 1Department of Neurointerventional Surgery, Christiana Care Health System, Newark, Delaware, USA
  2. 2Department of Neurointerventional Radiology, Christiana Care Health System, Newark, Delaware, USA
  3. 3Neurocritical Care, Christiana Care Health System, Newark, Delaware, USA
  4. 4Neurocritical Care, University of Delaware, Newark, Delaware, USA
  1. Correspondence to Dr Sudhakar R Satti, Neurointerventional Surgery, Christiana Care Health System, Newark, DE 19718, USA; ssatti{at}christianacare.org, sattimd{at}gmail.com

Abstract

Basilar artery perforator aneurysms (BAPAs) are an uncommon subtype of perforating artery aneurysms, with only 18 published cases since their initial description in 1996 by Ghogawala et al. To date, there are only seven published cases of ruptured BAPAs treated using endovascular techniques. Given the rarity of these aneurysms, the natural history and ideal approach to treatment has not been established. We describe a new endovascular approach to treating these aneurysms using staged telescoping stents, summarize all published cases of BAPAs, and present a unique classification system to enable future papers to standardize descriptions.

  • Aneurysm
  • Flow Diverter
  • Subarachnoid
  • Stent

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