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Updated: Aug 24, 2025

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Endovascular Coiling of Fenestrated Vertebrobasilar Cerebral Aneurysms
Millie Liao1, Kenneth Huynh2, Kurt Cicilioni1
1Department of Vascular & Interventional Radiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
Abstract:
Fenestrated vertebrobasilar junction aneurysms are uncommon vascular lesions. Surgical intervention remains extremely challenging due to the deep location and complex anatomy with adjacent cranial nerves and perforator vessels. Endovascular approach is safer and generally accepted as the primary treatment method. Optimal angiographic projections with three-dimensional reconstructions to guide microcatheter selection remain vital to successfully treating aneurysms with challenging fenestration anatomy. This report details the endovascular methods in two cases of fenestrated vertebrobasilar junction aneurysms with different coiling techniques.
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