Double-barrel Y-configuration stenting for flow diversion of a giant recurrent basilar apex aneurysm with the pipeline flex embolization device

Dale Ding, Robert M. Starke, Ben McGuinness, Stefan Brew

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Giant basilar apex aneurysms are extremely challenging to successfully manage. The Pipeline Flex embolization device (PFED) is a new generation flow-diverting stent with a modified delivery system which allows resheathing of the stent after partial deployment. We describe a case of double-barrel Y-configuration stenting of a giant, recurrent basilar apex aneurysm using the PFED. A 73-year-old male was previously treated for an unruptured 11-mm basilar apex aneurysm with stent-assisted coiling using a Neuroform stent. The aneurysm was retreated twice with repeat coiling. After the third recurrence and persistent aneurysm growth into a giant, symptomatic lesion, we decided to proceed with flow diversion. We performed Y-stenting of the basilar bifurcation using three PFEDs, and was recoiled the aneurysm sac. Due to the low porosity of the flow diverters, a side-by-side double-barrel configuration was necessary in the basilar artery. Without the PFED's resheathable capability, it would not have been possible to perform Y-stenting with flow diverters.

Original languageEnglish (US)
Pages (from-to)S99-S102
JournalJournal of Neurosciences in Rural Practice
Volume7
Issue number5
DOIs
StatePublished - Dec 2016

Keywords

  • Basilar artery
  • endovascular procedures
  • intracranial aneurysm
  • Pipeline Flex embolization device
  • Y-stenting

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Double-barrel Y-configuration stenting for flow diversion of a giant recurrent basilar apex aneurysm with the pipeline flex embolization device'. Together they form a unique fingerprint.

Cite this