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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: X-configuration stent-assisted coiling.
    Author: Menendez JY, Harrigan MR.
    Journal: World Neurosurg; 2010 Jul; 74(1):143-4. PubMed ID: 21300004.
    Abstract:
    BACKGROUND: Proximal basilar artery aneurysms are rare and when they occur they are often found in association with a fenestrated basilar artery. These lesions are often amenable to treatment by endovascular techniques CASE DESCRIPTION: A 48-year-old woman with a proximal basilar artery aneurysm was treated by reconstructing the fenestrated basilar artery, placing two stents in an X-configuration, and subsequent coiling of the wide-necked aneurysm. The lesion was successfully coiled without new neurological deficit and there was no recanalization at 15 month follow-up. CONCLUSIONS: Reconstructing the fenestrated basilar artery with two stents in an X-configuration allows coiling of wide-necked aneurysms and is preferable to sacrificing a limb of the fenestrated basilar artery due to possibility of a physiologic significant branch off of the sacrificed limb.
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