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Neurointervention 2009;4(2):133-136.
Treatment of Ruptured Dissecting Aneurysm Associated with Fenestration of Vertebral Artery: A Case Report.
Mi Kyung Kim, Jun Soo Byun, Sung Nam Hwang
1Department of Radiology, Chung-Ang University Yongsan Hospital, College of Medicine, Seoul, Korea. flightdr61@cau.ac.kr
2Department of Neurosurgery, Chung-Ang University Yongsan Hospital, College of Medicine, Seoul, Korea.
Abstract
Fenestration of vertebral artery is hemodynamically associated with aneurysm and other vascular injury. Dissecting aneurysm in intracranial fenestration of vertebral artery is very rare disease and hardly reported. We present a 65-year-old man with ruptured dissecting aneurysm in distal vertebral artery fenestration, which was treated by coil embolization. Final vertebral angiogram shows bypass flow through the other artery of fenestration into basilar artery. In addition, modality of treatment in dissecting aneurysm will be discussed.
Key Words: Vertebral artery; Dissection; Fenestration; Coil embolization; Subarachnoid hemorrhage


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