Endovascular treatment for large and giant fusiform aneurysms of the vertebrobasilar arteries.

Clinical imaging

PubMedID: 23465972

Chen Z, Yang Y, Miao H, Tang W, Chen J, Niu Y, Feng H, Zhu G. Endovascular treatment for large and giant fusiform aneurysms of the vertebrobasilar arteries. Clin Imaging. 2013;37(2):227-31.
Fusiform aneurysms of vertebrobasilar arteries pose great challenge to surgical and endovascular treatment, especially large and giant aneurysms. We retrospectively reviewed our experiences and results of endovascular treatments for a series of 10 consecutive patients with large and giant fusiform aneurysms. Eight patients underwent stents placement (5 patients) or stent-assisted coiling (3 patients), and 2 patients underwent proximal occlusion of the parent arteries. Retreatment was needed in 2 patients. With the exception of 1 patient who died of rebleeding after sole stenting, the remaining 9 patients had good outcome. Reconstructive strategies using stents is a useful alternative for large and giant fusiform aneurysms of the vertebrobasilar arteries.