Abstract
Objective: We report a case with ruptured basilar artery (BA) fusiform aneurysm treated with coil embolization byusing a “parallel stenting” at the chronic stage.
Case presentation: A 63-year-old woman was admitted to our hospital with a sudden headache. CT demonstrated asubarachnoid hemorrhage and DSA showed a fusiform BA aneurysm (18×12 mm). Both anterior inferior cerebellararteries arose from the dorsal aspect of the fusiform aneurysm. Three weeks later, intravascular surgery was carried out.To protect the flow of the BA, two stents (Enterprise VRD 4.5×37 mm) were navigated and positioned from BA to bothVAs in a side-by-side (parallel) manner. After parallel stenting, the coil embolization of the aneurysm was successfullyperformed. Several weeks after the surgical treatments, the patient got discharged from the hospital with no neurologicaldeficit.
Conclusion: The parallel stenting technique may be useful for the treatment of fusiform aneurysm.
