Stent-Graft Placement for Wide-Neck Aneurysm of the Vertebrobasilar Junction
Michael A. Burbelkoa,d,
Lyudmyla A. Dzyakb,d,
Nykolay A. Zorinb,d,
Sergey P. Grigorukc,d and
Volodymyr A. Golykb,d
a Giessen, Germany
b Department of Neurology and Neurosurgery, State Medical Academy, Dnepropetrovsk, Ukraine
c Department of Angioneurosurgery, Regional Hospital (S.P.G.), Dnepropetrovsk, Ukraine
d Institute of Radiology, clinik offenbach, Starkenburgring 66, 63069, Offenbach, Germany
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FIG 1. Initial DSA with left VA injection shows the wide-necked, irregularly shaped aneurysm of the vertebrobasilar junction (arrows)
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FIG 2. Coronary stent-graft placement to treat an aneurysm of the vertebrobasilar junction.
A, Contrast material injection from the guiding catheter. The stent-graft (white arrowheads) is situated at the level of the aneurysm (white arrow), distal to the origin of the left PICA (black arrow) and proximal to the origins of both anterior inferior cerebellar arteries (black arrowheads).
B, DSA with left VA injection from the guiding catheter shows total closure of the aneurysm and good patency of the VA, BA, left PICA (arrow), and origins of both anterior inferior cerebellar arteries (arrowheads).
C, DSA with right VA injection shows termination of right VA with the PICA (arrowheads).
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FIG 3. Follow-up angiogram obtained 6 months after stent placement shows an absence of filling of the aneurysm, normal patency of the VA and BA, and no evidence of intimal hyperplasia or concomitant vessel stenosis.
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