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Giant Basilar Artery Aneurysm Involving the Origin of Bilateral Posterior Cerebral and Superior Cerebellar Arteries: Neck Reconstruction with pCONus-Assisted Coiling

  • Conference paper
Trends in Reconstructive Neurosurgery

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 124))

Abstract

Giant aneurysms of the basilar artery are rare and are frequently associated with obstructive hydrocephalus and brainstem compression. Treatment still remains a challenge both for neurosurgeons and for interventional neuroradiologists. Cases reported in the literature are anecdotal and, overall, their outcomes are poor. We present the case of a patient with a giant aneurysm of the basilar artery tip, involving the origin of both the posterior cerebral and superior cerebellar arteries, who underwent coiling and ventriculoperitoneal shunting for associated obstructive hydrocephalus. A pCONus ® stent (Phenox; Bochum, Germany) was detached with its petals opened over the ostia of the parent vessels, with the aim being to reconstruct the neck of the aneurysm and to preserve the flow in the parent vessel. Moreover, the presence of the stent was useful to maintain the coils within the dome of the aneurysm. The pCONus is a new neurovascular device that is also useful for treating cases of complex basilar artery aneurysms when the ostia of the parent vessel origin is at the level of the aneurysm neck.

Francesco Signorelli, MD, and Carmelo Lucio Sturiale, MD, PhD, are first co-authors.

Dr. Enrico Marchese and Dr. Alessandro Pedicelli both supervised the study as senior co-authors.

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Acknowledgments

We would like to thank Francesco Cantavenera for the realization of the artwork (Fig. 2a) included in this article.

Conflict of Interest Statement

The authors declare no conflicts of interest and they have not received any financial support in conjunction with the generation of this manuscript.

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Authors and Affiliations

  1. Institute of Neurosurgery, Medical School, Catholic University of Rome, Rome, Italy

    Francesco Signorelli MD, Carmelo Lucio Sturiale MD, PhD, Giuseppe La Rocca MD, Alessio Albanese MD, Pierpaolo Mattogno MD, Alfredo Puca MD, Massimiliano Visocchi MD & Enrico Marchese MD, PhD

  2. Institute of Bio-Imaging, Catholic University School of Medicine, Rome, Italy

    Francesco D’Argento MD & Alessandro Pedicelli MD

Authors
  1. Francesco Signorelli MD
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  2. Carmelo Lucio Sturiale MD, PhD
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  3. Giuseppe La Rocca MD
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  4. Alessio Albanese MD
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  5. Francesco D’Argento MD
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  6. Pierpaolo Mattogno MD
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  7. Alfredo Puca MD
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  8. Massimiliano Visocchi MD
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  9. Enrico Marchese MD, PhD
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  10. Alessandro Pedicelli MD
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Corresponding author

Correspondence to Francesco Signorelli MD .

Editor information

Editors and Affiliations

  1. Institute of Neurosurgery Medical School, Catholic University of Rome, Rome, Italy

    Massimiliano Visocchi

  2. Dept. of Neurosurgery, Christian-Albrechts-University of Kiel, Kiel, Germany

    H. Maximilian Mehdorn

  3. Department of Neurological Surgery, Nihon University, Tokyo, Japan

    Yoichi Katayama

  4. Medical Faculty University of Münster, Münster, Germany

    Klaus R. H. von Wild

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Signorelli, F. et al. (2017). Giant Basilar Artery Aneurysm Involving the Origin of Bilateral Posterior Cerebral and Superior Cerebellar Arteries: Neck Reconstruction with pCONus-Assisted Coiling. In: Visocchi, M., Mehdorn, H.M., Katayama, Y., von Wild, K.R.H. (eds) Trends in Reconstructive Neurosurgery. Acta Neurochirurgica Supplement, vol 124. Springer, Cham. https://doi.org/10.1007/978-3-319-39546-3_20

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  • DOI: https://doi.org/10.1007/978-3-319-39546-3_20

  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-39546-3

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