MULTI-STAGED ENDOVASCULAR SOLUTION FOR A COMPLEX, GIANT VERTEBRAL-BASILAR JUNCTION ANEURYSM

  • Georgiana ION “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • B.F. ILIESCU “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • N. DOBRIN “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • I. POEATA “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi
  • A. CHIRIAC “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Abstract

We present a very particular case of a complex vertebral-basilar junction aneurysm in a 34-year-old male patient. The patient benefited from a multi-stage endovascular treatment with a good neurological result at 12 months follow-up. Following an intricate history and a complex diagnosis process, we describe the therapeutic challenges and the steps taken in securing the aneurysm and dealing with the complicated hemodynamic architecture of the aneurysm and vertebral-basilar complex as well as the critical neurological evolution during the multi-staged process. Our case brings a new perspective to a rare and very difficult pathology and contributes to an increasing pool of data regarding the clinical management and the therapeutic options in this type of vascular lesions.

Author Biographies

Georgiana ION, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery

B.F. ILIESCU, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
 “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

N. DOBRIN, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery

I. POEATA, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
 “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

A. CHIRIAC, “Professor Dr. N. Oblu” Clinical Emergency Hospital Iasi

Department of Neurosurgery
 “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

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Published
2018-12-27