• World Neurosurg · Aug 2020

    Case Reports

    Embolization of a basilar tip aneurysm via the ascending cervical artery.

    • Daniel Munger, Brannan O'Neill, and Ryan Priest.
    • Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA. Electronic address: mungerd@ohsu.edu.
    • World Neurosurg. 2020 Aug 1; 140: 262-266.

    BackgroundUnusual vascular anatomy can present treatment challenges as traditional approaches may be unfeasible.Case DescriptionIn this case we describe a patient who presented with subarachnoid hemorrhage due to a ruptured basilar apex aneurysm, with an occluded left vertebral artery and severely stenotic right vertebral artery. Coil embolization was performed via catheterization of an ascending cervical artery, with a successful clinical and radiographic outcome.ConclusionsThis demonstrates novel use of an endovascular technique in the setting of multiple vascular pathologies.Copyright © 2020 Elsevier Inc. All rights reserved.

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