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Acute Treatment of ruptured fusiform V4 aneurysm

Last update on May 23, 2022

Find out how Dr. G. Melo-Guzmán, Dr. MJ. Arévalo-Torres and Dr. S. d’Herbemont treated a patient suffering from ruptured fusiform basilar aneurysm!

Case

CASE PRESENTATION

History of Hypertension (4y)
SAH F IV WFNS 1 HH 2

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AngioCT (+) fusiform aneurysm
3D DSA

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DIAGNOSTIC ANGIO

TREATMENT OPTIONS

Stent & coils?
Flow Diversion?
Bypass?
Vertebral closure?

PIPELINE FLEX® FLOW DIVERT

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1y Control - mRs 0

POINT FOR DISCUSSION

Is there a better approach for a ruptured fusiform posterior circulation aneurysms?
Does the aneurysm have features that will lead to retreatment later on?
Did we use the appropriate approach in this case?

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