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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 25:509-512, March 2004
© 2004 American Society of Neuroradiology

Case Report
INTERVENTIONAL

A Novel Endovascular Treatment of a Wide-Necked Basilar Apex Aneurysm by Using a Y-Configuration, Double-Stent Technique

Michael M. Chow^a, Henry H. Woo^a, Thomas J. Masaryk^b and Peter A. Rasmussen^a

^a Department of Neurosurgery; Section of Cerebrovascular Surgery and Endovascular Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH
^b Section of Neuroradiology; Section of Cerebrovascular Surgery and Endovascular Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH

Address correspondence to Dr. Peter A. Rasmussen, Department of Neurosurgery, Cleveland Clinic Foundation, S-80, 9500 Euclid Avenue, Cleveland, OH 44195

Summary: Wide-necked bifurcation aneurysms remain a formidable challenge to the neuroendovascular surgeon. A 36-year-old woman with a wide-necked basilar bifurcation aneurysm was unsuccessfully treated by endovascular methods, despite the use of the balloon-remodeling technique. Successful coiling was ultimately achieved by use of a Y-configuration double stent-assisted technique. This novel method of using self-expanding stents may represent a significant advance in the management of basilar apex and other bifurcation aneurysms.

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