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Intra-aneurysmal Thrombectomy Using Exo-endoscopic 2-step Approach for Thrombosed Vertebral Artery Aneurysm: A
I Gusti Ketut Agung Surya Kencana1,2, Kenichiro Iwami2, Masahiro Nishihori2
1Neurosurgery Division, Department of Surgery, Faculty of Medicine, Udayana University, Ngoerah Hospital, Kota Denpasar, Bali, Indonesia.
NMC Case Report Journal
|March 30, 2026
Summary
A novel exo-endoscopic approach successfully treated a complex thrombosed vertebral artery aneurysm causing brainstem compression. This minimally invasive technique improved neurological function and resolved symptoms in a challenging case.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Endoscopic Surgery
Background:
- Thrombosed vertebral artery aneurysms are rare but present significant treatment challenges due to their location near critical brainstem structures.
- Conventional microscopic surgery is often difficult for ventral brainstem compression caused by these aneurysms.
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