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Case Report Open Access

Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review

  • Authors:
    • Chun-Lei Zhang
    • Zhong-Hua Shi
    • Zhi-Zhong Yan
    • Chun-Long  Ding
    • Jia-Ming Cao
    • Yu-Hai Wang
    • Peng Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, 904th Hospital of Chinese People's Liberation Army Joint Logistic Support, Wuxi, Jiangsu 214004, P.R. China, Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, Beijing 100053, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 40
    |
    Published online on: November 17, 2020
       https://doi.org/10.3892/etm.2020.9472
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Abstract

Giant aneurysm of the posterior circulation is associated with a higher risk of rupture compared with that of the anterior circulation. Furthermore, surgical clipping and interventional embolization for giant aneurysm of the posterior circulation are more difficult and complex to perform. The present study reported on the case of a 26‑year‑old female who exhibited a giant spherical aneurysm of the vertebrobasilar junction (VBJ) with a maximum diameter of ~35 mm that caused cervical discomfort. In addition, the patient experienced symptoms including left‑sided walking and hoarseness caused by the compression of the brainstem and the posterior cranial nerves. The risks associated with performing surgery in this area are high and the prognosis is mainly poor. The patient of the present study was treated using the Pipeline Flex device with coil embolization. As a giant aneurysm of the VBJ simultaneously affects the bilateral vertebral arteries (VAs) and basilar artery, it is a unique condition and the treatment strategy must be personalized. Based on an analysis of the hemodynamic influence on the aneurysm in the present case, the Pipeline was placed through the left VA, the coils were packed through the right VA, and finally, the right VA was proximally occluded. At 7 months after embolization, the patient's modified Rankin scale score was 1 point. Upon analysis of the hemodynamic influence on the aneurysm of the VBJ, the VA with the larger shear force on the wall of the aneurysm was selected for occlusion to simplify the treatment of the aneurysm and to maximize the probability to achieve recovery.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang C, Shi Z, Yan Z, Ding C, Cao J, Wang Y and Zhang P: Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review. Exp Ther Med 21: 40, 2021.
APA
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., & Zhang, P. (2021). Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review. Experimental and Therapeutic Medicine, 21, 40. https://doi.org/10.3892/etm.2020.9472
MLA
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., Zhang, P."Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review". Experimental and Therapeutic Medicine 21.1 (2021): 40.
Chicago
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., Zhang, P."Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review". Experimental and Therapeutic Medicine 21, no. 1 (2021): 40. https://doi.org/10.3892/etm.2020.9472
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang C, Shi Z, Yan Z, Ding C, Cao J, Wang Y and Zhang P: Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review. Exp Ther Med 21: 40, 2021.
APA
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., & Zhang, P. (2021). Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review. Experimental and Therapeutic Medicine, 21, 40. https://doi.org/10.3892/etm.2020.9472
MLA
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., Zhang, P."Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review". Experimental and Therapeutic Medicine 21.1 (2021): 40.
Chicago
Zhang, C., Shi, Z., Yan, Z., Ding, C., Cao, J., Wang, Y., Zhang, P."Giant aneurysm of the bilateral vertebrobasilar junction treated by pipeline and coils: A case report and literature review". Experimental and Therapeutic Medicine 21, no. 1 (2021): 40. https://doi.org/10.3892/etm.2020.9472
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