AJDRAJNR - American Journal of Neuroradiology

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Neuroform Stent Deployment for Treatment of a Basilar Tip Aneurysm via a Posterior Communicating Artery Route

DeWitte T. Cross, IIIa,b, Christopher J. Morana,b, Colin P. Derdeyna,b, Avi Mazumdara, Dennis Riveta and Michael M. Chicoineb

a Mallinckrodt Institute of Radiology, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, MO
b Department of Neurological Surgery, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, MO



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FIG 1. A, Aneurysm at presentation after subarachnoid hemorrhage. B, Initial post-treatment appearance. C, Recurrence at 6 months. Note posterior communicating arteries, right larger than left (arrows).



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FIG 2. A and B, Microcatheter coursing from right internal carotid through right posterior communicator, right P1 segment, basilar tip, and left P1 segment into left P2 segment. C (PA) and D (lateral), Neuroform stent deployed across aneurysm neck, with distal markers in left P1 segment and proximal markers in right posterior communicating artery. E, Arterial appearance immediately following stent deployment. F and G, Aneurysm after coil embolization of recurrent portion with stent support. H, Appearance 6 months after stent placement and coil retreatment. (Unopacified inflow from posterior communicating artery confirms its patency.)