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100 Interesting Case Studies in Neurointervention: Tips and Tricks pp 3–5Cite as

Basilar Top Aneurysm with Extreme Tortuosity: Triaxial Technique

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Abstract

An Eighty four year old lady presented with subarachnoid haemorrhage (Hunt & Hess Grade II; Fisher Grade 3). Angiogram (Fig. 1.1) revealed a small basilar top aneurysm with a broad neck. The aneurysm was lobulated, and the neck was more towards the origin of left PCA. Both vertebral arteries were extremely tortuous with loops just beyond the origin and at the V2 segments.

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Suggested Reading

  • Chaudhary N, Pandey AS, Thompson BG, et al. Utilization of the Neuron 6 French 0.053 inch inner luminal diameter guide catheter for treatment of cerebral vascular pathology: continued experience with ultra distal access into the cerebral vasculature. J Neurointerv Surg. 2012;4:301–6.

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  • Park MS, Stiefel MF, Fiorella D, et al. Intracranial placement of a new, compliant guide catheter: technical note. Neurosurgery. 2008;63:E616–7.

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  • Simon SD, Ulm AJ, Russo A, et al. Distal intracranial catheterization of patients with tortuous vascular anatomy using a new hybrid guide catheter. Surg Neurol. 2009;72:737–40.

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Authors and Affiliations

  1. Neurointerventional Surgery, Stroke unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

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  1. Vipul Gupta
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Correspondence to Vipul Gupta .

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Editors and Affiliations

  1. Neurointerventional Surgery, Stroke Unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

  2. Division of Neurointerventional Surgery, University of Massachusetts Medical Center, Worcester, MA, USA

    Ajit S. Puri

  3. Department of Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Rajsrinivas Parthasarathy

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Gupta, V. (2019). Basilar Top Aneurysm with Extreme Tortuosity: Triaxial Technique. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_1

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

  • eBook Packages: MedicineMedicine (R0)

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