CT Angiography for assessment of intracranial basilar apex aneurysm neck diameter reduction poststenting for treatment planning

Joseph G. Adel, Arun K. Sherma, Bernard R. Bendok

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Background and Purpose: Once a contraindication for a neuro-interventional therapeutic approach, some wide-necked aneurysms can now be treated with stent assistance. Radiologically assessing the impact of a stent on the neck of a wide-neck bifurcation, aneurysm remains a challenge however. Methods: A 76-year-old female with a large irregular basilar apex aneurysm was referred for endovascular treatment. Angiographic imaging revealed a basilar apex aneurysm with a 6-mm neck and a 14-mm dome. The decision was made to perform staged stent-assisted coiling of the aneurysm. In the interim time, although the stent was allowed to heal in place, a CTA was done to assess the positioning of the stent and the degree of neck narrowing. Results: The CTA showed that the neck had been narrowed from 6 to 2 mm hence making endovascular coiling feasible. Conclusion: Our case illustrates the use of CTA poststent deployment to visualize the change in aneurysm neck caliber precoil embolization.

Original languageEnglish (US)
Pages (from-to)644-647
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume75
Issue number4
DOIs
StatePublished - Mar 1 2010

Keywords

  • Basilar tip aneurysm
  • Computed tomography angiography
  • Staged stent assisted coil embolization
  • Wide-necked aneurysms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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