AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology, Vol 19, Issue 8 1554-1556, Copyright © 1998 by American Society of Neuroradiology


ARTICLES

Endovascular treatment of basilar tip aneurysms after direct puncture of the vertebral artery

A Weill, C Cognard, L Spelle, L Castaings and J Moret
Service de Neuroradiologie Interventionnelle, Fondation Ophtalmologique Rothschild, Paris, France.

Basilar aneurysms that are not amenable to standard endovascular treatment via the femoral approach because catheterization is difficult pose a rare but serious problem. We present two cases of basilar tip aneurysms successfully treated by the endovascular route after direct puncture of the right vertebral artery. In both patients, the left vertebral artery was tortuous, small, and irregular, and the ostium of the right vertebral artery was not accessible by the femoral approach.