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Updated: Jul 20, 2025
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Multiple telescoping flow diverter technique in endovascular treatment of a vertebrobasilar dissecting aneurysm: case
Ming-Yi Wang1, Yong-Sheng Liu1, Xiang-Bo An1
1Department of Intervention Therapy, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Insights
This case study highlights the successful endovascular treatment of a vertebrobasilar dissecting aneurysm using a dual antiplatelet regimen and two telescoping flow diverters. The procedure resulted in near-complete aneurysm occlusion at six months with no complications.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Vertebrobasilar dissecting aneurysms are rare but serious conditions.
- Endovascular treatment offers a minimally invasive approach for complex aneurysms.
- Flow diverters have emerged as a promising tool for aneurysm occlusion.
Abstract:
A 64-year-old man presented with headache and dizziness. A vertebrobasilar dissecting aneurysm was identified via computed tomography angiography and high resolution magnetic resonance imaging. Perioperatively, standard oral dual antiplatelet drugs were given. Two flow diverters were telespcoped for endovascular treatment of the aneurysm. Postoperatively, there were no signs of cerebral infarction and no new symptoms. At the 6-month follow-up, digital subtraction angiography showed that the aneurysm was almost completely occluded, with no other complications. This case serves as a reference for using the multiple telescoping flow diverter technique to treat vertebrobasilar dissecting aneurysm.
