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Minim Invasive Neurosurg 2003; 46(4): 220-227
DOI: 10.1055/s-2003-42356
Original Article
© Georg Thieme Verlag Stuttgart · New York

Endovascular GDC-Mediated Flow-Reversal for Complex Posterior Circulation Saccular Aneurysms

A Report of Two Cases and Critical AppraisalR.  Boet1 , W.  S.  Poon1 , S.  C. H.  Yu2 , M.  S.Y.  Chan2
  • 1Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong
  • 2Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, Shatin, Hong Kong
Further Information

Publication History

Publication Date:
24 September 2003 (online)

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Abstract

Two patients with giant complex saccular aneurysms of the proximal basilar artery were managed with flow-reversal using the endovascular route. Complete obliteration of the aneurysm was successful in one patient resulting in long term survival (8 year follow-up completed). Incomplete obliteration of the aneurysm persisted in the other patient, resulting in recurrence and a fatal haemorrhage one year after treatment. Endovascular flow-reversal is a good treatment option for these lesions with a high surgical risk. However, persistent incomplete thrombosis of these aneurysms following flow-reversal should lead to the consideration of alternate treatment strategies.

Key words

Subarachnoid haemorrhage - aneurysm - endovascular therapy - basilar artery

References

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W. S. Poon

Division of Neurosurgery · Department of Surgery · Prince of Wales Hospital

Shatin

New Territories

Hong Kong

Phone: +852-2632-2624

Fax: +852-2637-7974

Email: wpoon@cuhk.edu.hk