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Case report
Republished: Successful treatment of a giant pediatric fusiform basilar trunk aneurysm with surpass flow diverter
  1. Peter Kan1,
  2. Maxim Mokin2,
  3. Ajit S Puri3,
  4. Ajay K Wakhloo4,5
  1. 1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA
  2. 2Department of Neurosurgery and Brain Repair, USF, Tampa, Florida, USA
  3. 3Department of Radiology, University of Massachusetts, Worcester, Massachusetts, USA
  4. 4Department of Radiology, New England Center for Stroke Research and Division Neuroimaging and Intervention, Worcester, Massachusetts, USA
  5. 5Division of Neuroimaging and Intervention, University of Massachusetts Medical School, Worcester, Massachusetts, USA
  1. Correspondence to Dr P Kan, Department of Neurosurgery, Baylor College of Medicine, 7200 Cambridge St, Suite 9B, Houston, TX 77030, USA; peter.kan{at}


Fusiform aneurysms present a unique challenge to traditional microsurgical and endovascular treatment because of the lack of a discernible neck and the involvement of parent vessel. Flow diversion has increasingly become the treatment of choice for fusiform aneurysms in the anterior circulation, but its results in the posterior circulation are variable. We report successful treatment of a giant fusiform upper basilar trunk aneurysm with the Surpass flow diverter in an adolescent, and discuss the potential advantages of this emerging technology in the treatment of fusiform posterior circulation aneurysms.

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