X-Configuration Stent-Assisted Coiling

Academic Article


  • Background: Proximal basilar artery aneurysms are rare and when they occur they are often found in association with a fenestrated basilar artery. These lesions are often amenable to treatment by endovascular techniques Case Description: A 48-year-old woman with a proximal basilar artery aneurysm was treated by reconstructing the fenestrated basilar artery, placing two stents in an X-configuration, and subsequent coiling of the wide-necked aneurysm. The lesion was successfully coiled without new neurological deficit and there was no recanalization at 15 month follow-up. Conclusions: Reconstructing the fenestrated basilar artery with two stents in an X-configuration allows coiling of wide-necked aneurysms and is preferable to sacrificing a limb of the fenestrated basilar artery due to possibility of a physiologic significant branch off of the sacrificed limb. © 2010 Elsevier Inc.
  • Authors

    Published In

  • World Neurosurgery  Journal
  • Digital Object Identifier (doi)

    Author List

  • Menendez JY; Harrigan MR
  • Start Page

  • 143
  • End Page

  • 144
  • Volume

  • 74
  • Issue

  • 1