AI Article Synopsis
- * An 80-year-old patient with an enlarging aneurysm affecting her sixth cranial nerve was found to have anatomical challenges that ruled out traditional endovascular options like transradial or transfemoral access.
- * This case highlights a new combined approach using microsurgery for accessing the vertebral artery, allowing for effective treatment of complex aneurysms when standard methods are too risky.
Article Abstract
Background And Importance: Fusiform vertebrobasilar aneurysms carry significant morbidity. Endovascular strategies are preferred; however, unsafe or unfeasible access can call for innovative strategies.
Clinical Presentation: An octogenarian patient with an enlarging fusiform proximal basilar artery aneurysm causing a sixth nerve palsy was found to have multiple anatomic features that precluded a transradial or transfemoral endovascular approach. She was thus treated with direct microsurgical access of the V3 segment of the vertebral artery for subsequent coil embolization and flow diversion.
Conclusion: This case introduces a novel combined microsurgical and endovascular strategy for treating a complex partially thrombosed fusiform basilar artery aneurysm. This approach should be reserved only for patients where conventional endovascular access is dangerous or unfeasible.
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| http://dx.doi.org/10.1227/ons.0000000000001186 | DOI Listing |
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