Basilar artery aneurysm treatment [Neurosurgery Wiki]

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====== Basilar artery aneurysm treatment ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1puh2wJZbabKSbjP7XBZkRgszbSURLnWlYkYeVB8zFVTTV79q_/?limit=15&utm_campaign=pubmed-2&fc=20230429043439}}
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Treating vertebral and basilar artery aneurysms by clipping is usually challenging; therefore, [[endovascular]] [[coil embolization]] has been widely used for these aneurysms
((Sikkema T, Uyttenboogaart M, Eshghi O, De Keyser J, Brouns R, van Dijk JM, Luijckx GJ. Intracranial artery dissection. Eur J Neurol. 2014 Jun;21(6):820-6. doi: 10.1111/ene.12384. Epub 2014 Feb 22. PMID: 24824740.)).
To improve the efficacy of [[endovascular treatment]], intracranial [[stent]] was introduced to reduce recurrence rates by the mechanical barrier, [[flow diversion]], and biological effects
[[Basilar artery aneurysm coiling]] is a safer and less invasive alternative to open surgery for [[basilar artery aneurysm]] [[treatment]]. It has a lower risk of complications and a shorter recovery time. However, not all aneurysms can be treated with coiling.

For surgery consider delayed surgery.
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LVIS device for vertebral and basilar artery aneurysms may be an acceptable safety profile and may represent a reasonable treatment option in the short term. Long-term and larger cohort studies are necessary
((Hong Q, Li W, Ma J, Jiang P, Zhang Y. Endovascular treatment of vertebral and basilar artery aneurysms with low-profile visualized intraluminal support device. BMC Neurol. 2021 May 15;21(1):198. doi: 10.1186/s12883-021-02180-1. PMID: 33992093; PMCID: PMC8122564.)).

===== Coiling =====

Tools and techniques utilized in endovascular brain aneurysm treatment have undergone rapid evolution in recent decades. These techniques and device-level innovations have allowed for the treatment of highly complex intracranial aneurysms and improved patient outcomes
((Lauzier DC, Huguenard AL, Srienc AI, Cler SJ, Osbun JW, Chatterjee AR, Vellimana AK, Kansagra AP, Derdeyn CP, Cross DT, Moran CJ. A review of technological innovations leading to modern endovascular brain aneurysm treatment. Front Neurol. 2023 Apr 11;14:1156887. doi: 10.3389/fneur.2023.1156887. PMID: 37114225; PMCID: PMC10126349.)).

[[Basilar artery aneurysm coiling]].

[[Flow Diversion for the Treatment of Basilar Bifurcation Aneurysm]]