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Neurointervention 2006;1(1):54-57.
Stent Assisted Coil Embolization of Unruptured Aneurysm Associated with Basilar Artery Fenestration: A Case Report.
Yong Cheol Lim, Yong Sam Shin, Sun Yong Kim
1Department of Neurosurgery, School of Medicine, Ajou University, Korea. nsshin@ajou.ac.kr
2Department of Radiology, School of Medicine, Ajou University, Korea.
Abstract
We report a case of unruptured aneurysm associated with basilar fenestration treated with coil-assisted coil embolization. A 46-year-old man had suffered from intermittent, progressive occipital headache for 2 months. Magnetic resonance (MR) angiography showed a large aneurysm at the proximal basilar artery. Both three-dimensional CT angiography and angiography demonstrated a saccular, 20x15-mm aneurysm arising at the proximal end of associated fenestration at the basilar artery. The aneurysm was successfully occluded with stent-assisted coil embolization. The patient was discharged home after 1 week and received 75 mg clopidogrel once daily for 4 weeks and 100 mg aspirin once daily for life.
Key Words: Aneurysm; Basilar artery; Fenestration; Endovascular therapy


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