Skip to main content
Log in

Failure of stent-assisted endovascular treatment for ruptured dissecting aneurysms of the basilar artery

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

We report two instructive cases of ruptured dissecting aneurysm of the basilar artery. Although stent-assisted endovascular treatment was successful, recurrent bleeding occurred 4 h after the procedure in one patient, and the other's basilar artery occluded 6 days after the procedure. These cases suggest that the high porosity of currently available stents may be insufficient to induce intraluminal thrombosis and merely stenting may fail to prevent bleeding, while postoperative anticoagulation alone may be inadequate to prevent occlusion of the stented vessel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. Berger MS, Wilson CB (1984) Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of literature. J Neurosurg 61: 882–894

    CAS  PubMed  Google Scholar 

  2. Bekovich SF, Spokes RL, Anderson RM, Bladin PF (1983) Basilar artery dissection. J Neurol Neurosurg Psychiatry 46: 126–129

    CAS  PubMed  Google Scholar 

  3. Geremia G, Haklin M, Brennecke L (1994) Embolization of experimentally created aneurysms with intravascular stent devices. AJNR 15: 1223–1231

    CAS  Google Scholar 

  4. Lieber BB, Stancampiano AP, Wakhloo AK (1997) Alteration of haemodynamics in aneurysm models by stenting: Influence of stent porosity. Ann Biomed Eng 25: 460–469

    CAS  PubMed  Google Scholar 

  5. Turjman F, Massoud TF, Ji C, Guglielmi G, Viñuela F, Robert J (1994) Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: A feasibility study in swine. AJNR 15: 1087–1090

    CAS  PubMed  Google Scholar 

  6. Wakhloo AK, Scellhammer F, de Vries J, Haberstroh J, Schumacher M (1994) Self-expanding and balloon-expandable stents in the treatment of carotid aneurysms: An experimental study in a canine model. AJNR 15: 493–502

    CAS  PubMed  Google Scholar 

  7. Wakhloo AK, Tio FO, Scellhammer F, Graf M, Hopkins LN (1995) Self-expanding nitinol stents in canine vertebral arteries: Hemodynamics and tissue response. AJNR 16: 1043–1051

    CAS  Google Scholar 

  8. Higashida RT, Smith W, Gress D, et al (1997) Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery. J Neurosurg 87: 944–949

    CAS  PubMed  Google Scholar 

  9. Lylyk P, Cohen JE, Ceratto R, Ferrario A, Miranda C (2001) Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. J Neurosurg 94: 427–432

    CAS  PubMed  Google Scholar 

  10. Phatouros CC, Sasaki TYJ, Higashida RT, et al (2000) Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery 47: 107–115

    CAS  PubMed  Google Scholar 

  11. Lanzino G, Wakhloo AK, Fessler RD, Hartney ML, Guterman LR, Hopkins LN (1999) Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms. J Neurosurg 91: 538–546

    CAS  PubMed  Google Scholar 

  12. Schömig A, Neumann FJ, Kastrati A, Schühlen H, Blasini R (1996) A Randomized comparison of antiplatelet and anticoagulant therapy after the placement of coronary-artery stents. N Engl J Med 334: 1084–1089

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Y. Kaku.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kaku, Y., Yoshimura, S., Yamakawa, H. et al. Failure of stent-assisted endovascular treatment for ruptured dissecting aneurysms of the basilar artery . Neuroradiology 45, 22–26 (2003). https://doi.org/10.1007/s00234-002-0903-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-002-0903-y

Keywords

Navigation