Basilar Artery Bifurcation Aneurysm: Ruptured Wide-Necked Basilar Bifurcation Aneurysm Presenting with Atypical Clinical Signs and Symptoms, Treated with a WEB Device After a Failed Attempt at Coil Occlusion
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A 40-year-old male patient was referred to our emergency room with non-specific symptoms such as becoming progressively more agitated and a change in personality. While taking his medical history with his wife, she described a sudden onset of symptoms during sexual intercourse which then worsened. A scheduled CT scan revealed a basal subarachnoid hemorrhage graded at Hunt and Hess II, Fisher IV, due to a ruptured wide-neck basilar bifurcation aneurysm. After an initial unsuccessful treatment attempt using just a coil to occlude the aneurysm, the patient was successfully treated with a WEB device. The treatment of basilar artery bifurcation aneurysms with efferent arteries incorporation using a Woven EndoBridge (WEB) is the main topic of this chapter.
KeywordsBasilar artery bifurcation Wide-necked bifurcation aneurysm Coil occlusion failed attempt Woven EndoBridge WEB
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