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Endovascular treatment with ‘kissing’ flow diverter stents of two unruptured aneurysms at a fenestrated vertebrobasilar junction
  1. Arturo Consoli1,
  2. Leonardo Renieri1,
  3. Sergio Nappini1,
  4. Fabrizio Ricciardi1,
  5. Giulia Grazzini2,
  6. Giulia Scarpini2,
  7. Leonardo Capaccioli2,
  8. Salvatore Mangiafico1
  1. 1Interventional Neuroradiology Unit, Careggi University Hospital, Florence, Italy
  2. 2Department of Radiology, Careggi University Hospital, Florence, Italy
  1. Correspondence to Dr Arturo Consoli, Interventional Neuroradiology Unit, Careggi University Hospital, Florence 50134, Italy; onemed21{at}gmail.com

Abstract

Background and purpose Fenestration of the vertebrobasilar junction (VBJ) is a rare condition which may be associated with the presence of aneurysms. The endovascular approach is usually the first-line treatment in these cases since the location of the aneurysm may be unsuitable for a surgical approach. This anatomical variation may even influence the endovascular strategy, particularly in those cases in which the sacrifice of a vessel could be avoided. This paper describes an innovative approach of flow diversion in such challenging situations.

Methods Two women were admitted after an occasional diagnosis of an aneurysm arising from a fenestrated VBJ. In both cases the endovascular approach was performed with two flow diverter stents and dual antiplatelet therapy was administered for 6 months.

Results Complete exclusion of the two aneurysms was obtained after 6 and 7 months, respectively, and the clinical outcome was excellent.

Conclusions Endovascular treatment of unruptured aneurysms located on a fenestrated VBJ with flow diverter stents represents a valid therapeutic approach with excellent clinical and radiological outcomes.

  • Aneurysm
  • angiography
  • flow diverter
  • hemorrhage
  • stroke
  • arteriovenous
  • angioplasty

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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

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