HCA Florida First Coast Neurosurgery, HCA Florida Orange Park Hospital, 1825 Kingsley Avenue, Florida, United States
Case Report
Endovascular Treatment of an Unruptured Posterior Inferior Cerebellar Artery Incorporating Fusiform Vertebral Artery Aneurysm using Simultaneous Trans Circulatory Bilateral Vertebral Artery Access and, Kissing Vertebral Artery and PICA Stents and Pla
Author(s): Michael Bruce Horowitz*
A fusiform intracranial aneurysm can be defined as a diffuse dilatation of an arterial segment such that a large percentage of the vessel’s circumference is pathologically dilated. These aneurysms are distinguished form saccular (aka: berry) intracranial aneurysms in that they do not harbor an aneurysm neck that aids with surgical exclusion of the lesion from the native circulation. Treatment of fusiform intracranial aneurysms is technically challenging because of the lesion’s broad involvement of the arterial lumen and the absence of a distinct aneurysm neck that can help during lesion obliteration. These lesions often present with critical branch vessels arising from the fusiform segment. Preservation of flow through the branch vessel can be difficult because elimination of the fusiform segment may lead to branch vessel occlusion and subsequent ischemic stroke in the bra.. View More»
DOI:
10.35248/2322-3308.11.6.002