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International Journal of Medical Sciences

.: Home > International Journal of Medical Sciences > 2011 > Volume 8 Number 3 > Kan Xu 1,*, Honglei Wang 1,*, Qi Luo 1, Ye Li 2, Jinlu Yu 1

Endovascular Treatment of Bilateral Carotid Artery Occlusion with Con-current Basilar Apex Aneurysm: A Case Report and Literature Review

Kan Xu 1,*, Honglei Wang 1,*, Qi Luo 1, Ye Li 2, Jinlu Yu 1
1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, PR China 2. Department of Radiology, First Hospital of Jilin University, Changchun, 130021, PR China
Abstract :

We report a case of successful endovascular treatment of bilateral carotid artery occlusion with concurrent basilar apex aneurysm. An elderly female patient with subarachnoid hem-orrhage (SAH) onset was admitted to the hospital. Computed tomography (CT) and digital subtraction angiography (DSA) confirmed the presence of bilateral carotid artery occlusion with concurrent basilar apex aneurysm. Brain blood supply was provided by the bilateral vertebral artery through the basilar artery. We treated the aneurysm with the endovascular approach by embolizing the aneurysm with three coils. The patient recovered well after surgery and showed no recanalization of the aneurysm on a one-year follow-up DSA. We also reviewed six similar cases found with a PUBMED database search (1980-2010), including those with bilateral common carotid artery occlusion. In conclusion, by using the endovas-cular approach, bilateral carotid artery occlusion with concurrent basilar apex aneurysm was efficiently treated.

Keywords :
carotid artery occlusion, basilar apex aneurysm, endovascular treatment

Date Deposited : 04 Jul 2011 11:00

Last Modified : 04 Jul 2011 11:00

Official URL: http://www.medsci.org/

Volume 8, Number 3, - 2011 , ISSN 1449-1907

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