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Case report
Treatment of wide-necked basilar tip aneurysm not amenable to Y-stenting using the PulseRider device
  1. Sunil A Sheth1,
  2. Nirav S Patel2,
  3. Ameera F Ismail2,
  4. Dena Freeman3,
  5. Gary Duckwiler1,
  6. Satoshi Tateshima1
  1. 1Division of Interventional Neuroradiology, University of California, Los Angeles, California, USA
  2. 2Long Beach Memorial Medical Center, Long Beach, California, USA
  3. 3MemorialCare Research, Long Beach Memorial, Long Beach, California, USA
  1. Correspondence to Dr Sunil A Sheth, Division of Interventional Neuroradiology, University of California, 757 Westwood Plaza, Suite 2129, Los Angeles, CA 90095, USA; ssheth{at}post.harvard.edu

Abstract

Endovascular treatment of broad-necked bifurcation aneurysms remains challenging. Stent-assisted coiling has been successful but requires catheterization of the branches off the parent vessel. We present the case of a patient who failed primary and stent-assisted coiling of a large basilar tip aneurysm because the morphology of the aneurysm precluded successful distal catheterization of the posterior cerebral artery (PCA) branches. Using the PulseRider device, which does not require catheterization of bifurcation branches, we were able to treat the aneurysm successfully.

  • Aneurysm
  • Coil
  • Device
  • Stent
  • Technique

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