Endovascular treatment with 'kissing' flow diverter stents of two unruptured aneurysms at a fenestrated vertebrobasilar junction. (7th February 2012)

• Record Type: Journal Article
• Authors: Consoli, Arturo; Renieri, Leonardo; Nappini, Sergio; Ricciardi, Fabrizio; Grazzini, Giulia; Scarpini, Giulia; Capaccioli, Leonardo; Mangiafico, Salvatore
• Is Part Of: Journal of neurointerventional surgery. Volume 5:Number 2(2013)
• Page Start: e9
• Page End: e9
• Publication Date: 2012-02-07
• Subjects: Aneurysm -- angiography -- flow diverter -- hemorrhage -- stroke -- arteriovenous -- angioplasty; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2011-010188
• Languages: English
• ISSNs: 1759-8478

Abstract

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.