Successful "blind-alley" formation with bypass surgery for a partially thrombosed giant basilar artery tip aneurysm refractory to upper basilar artery obliteration

Case report

Jun C. Takahashi, Kenichi Murao, Koji Iihara, Yuko Nonaka, Junya Taki, Izumi Nagata, Susumu Miyamoto

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Partially thrombosed giant aneurysms that are located at the basilar artery (BA) bifurcation and are not amenable to clip application are among the most challenging lesions for neurosurgeons. They compress vital structures such as the brainstem and the thalamus, and the prognosis is extremely poor when they are left untreated. Although obliteration of the upper BA is a promising approach for these aneurysms, some lesions are refractory to this treatment, and effective additional strategies have not been clearly established. The authors report a case treated by placement of clips in the unilateral posterior cerebral artery (PCA) and posterior communicating artery as well as by superficial temporal artery-PCA bypass after unsuccessful upper BA obliteration. Complete thrombosis and dramatic shrinkage of the aneurysm were obtained.

Original languageEnglish
Pages (from-to)484-487
Number of pages4
JournalJournal of Neurosurgery
Volume106
Issue number3
DOIs
Publication statusPublished - Mar 1 2007
Externally publishedYes

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Basilar Artery
Intracranial Aneurysm
Posterior Cerebral Artery
Aneurysm
Thrombosis
Surgical Instruments
Temporal Arteries
Thalamus
Brain Stem
Arteries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Successful "blind-alley" formation with bypass surgery for a partially thrombosed giant basilar artery tip aneurysm refractory to upper basilar artery obliteration : Case report. / Takahashi, Jun C.; Murao, Kenichi; Iihara, Koji; Nonaka, Yuko; Taki, Junya; Nagata, Izumi; Miyamoto, Susumu.

In: Journal of Neurosurgery, Vol. 106, No. 3, 01.03.2007, p. 484-487.

Research output: Contribution to journalArticle

Takahashi, Jun C. ; Murao, Kenichi ; Iihara, Koji ; Nonaka, Yuko ; Taki, Junya ; Nagata, Izumi ; Miyamoto, Susumu. / Successful "blind-alley" formation with bypass surgery for a partially thrombosed giant basilar artery tip aneurysm refractory to upper basilar artery obliteration : Case report. In: Journal of Neurosurgery. 2007 ; Vol. 106, No. 3. pp. 484-487.
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