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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:1226-1229, June-July 2003
© 2003 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Basilar Trunk Occlusion during Endovascular Treatment of Giant and Fusiform Aneurysms of the Basilar Artery

Jason D. Wenderoth^a,b, Makhan S. Khangure^a,c, Constantine C. Phatouros^a,d and H. Trevor ApSimon^a

^a Interventional Neuroradiology Unit, Royal Perth Hospital, Sydney, Australia
^b Department of Anatomy, University of New South Wales, Sydney, Australia
^c University of Western Australia, Crawley, Australia
^d Sir Charles Gairdner Hospital, Nedlands, Australia

Address reprint requests to Jason D. Wenderoth, Interventional Neuroradiology Unit, Royal Perth Hospital, Wellington Street, Perth WA 6000, Australia

Summary: Giant and fusiform aneurysms of the basilar artery (BA) are difficult to manage surgically, and they still present a challenge for the neurosurgeon despite progress in posterior fossa surgery. Guglielmi detachable coils have provided an alternative approach to treatment, but they have their own difficulties. We present a series of three patients with BA aneurysms treated with endovascular occlusion of the aneurysm and basilar trunk. Our experience suggests that, in select cases, BA occlusion may be not only safe but also necessary for the effective treatment of these aneurysms.

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