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Aneurysms of the Fenestrated Basilar Artery Treated With Gulielmi Detachabe Coils: Case Report

基底動脈裂孔合併動脈瘤形成及使用古離朱氏分離線圈栓塞

摘要


多個動脈瘤發生於基底動脈裂孔非常罕見。我們報告一例基底動脈孔合併二個動脈瘤產生,並成功使用古離米氏分離式線圈栓塞。一位42歲男性以蛛網膜下腔出血及意識不清而住院。血管攝影顯示近側基底動脈裂孔合併二個動脈瘤產生。我們使用古離米氏分式線圈栓塞治療此動脈瘤,此二動脈瘤幾乎完全被栓塞並保留椎動脈、基底動脈管腔及血管,患者經18個月之臨床追蹤目前仍無任何症狀。

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並列摘要


Multiple aneurysms at the site of a basilar artery fenestration (BAF) are extremely rare. We report a case of BAF in association with two aneurysms successfully treated with Guglielmi Detachable Coils (GDCs). A 42-year-old male presented with subarachnoid hemorrhage and consciousness change. Angiograms of the vertebrobasilar artery demonstrated fenestration of the proximal basilar artery associated with two aneurysms. Embolization of aneurysms was done by using GDCs. Aneurysms were almost completely obliterated with preservation of the flow and lumen of the vertebrobasilar system. The patient remains asymptomatic at clinical follow-up of 18 months.

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