2021 Volume 49 Issue 2 Pages 129-133
The treatment of large thrombosed basilar trunk aneurysms is challenging. We report a case of an aneurysm treated with multiple LVIS stent placement. A 64-year-old man with transient hemiplegia was found to have a large thrombosed basilar trunk aneurysm with compression of the brain stem by using magnetic resonance imaging (MRI) and digital subtraction angiography (DSA). Interventional radiology (IVR) was performed to prevent aneurysm rupture and the deterioration of the mass effect. Specifically, three LVIS stents were placed from the top of the basilar artery to the vertebral artery. As a result, the patient was asymptomatic in the year following the IVR. To conclude, multiple LVIS stent placement is a useful method for the treatment of large thrombosed basilar trunk aneurysms.
