'Donut' basilar aneurysm with brainstem compression: Treatment using a flow diverting stent

Julian Maingard; Mark Brooks

doi:10.1177/1591019915626918

'Donut' basilar aneurysm with brainstem compression: Treatment using a flow diverting stent

Interv Neuroradiol. 2016 Jun;22(3):266-9. doi: 10.1177/1591019915626918. Epub 2016 Feb 2.

Authors

Julian Maingard¹, Mark Brooks²

Affiliations

¹ Department of Radiology, Austin Hospital, Australia [email protected].
² Department of Radiology, Austin Hospital, Australia.

Abstract

Partially thrombosed aneurysms with circular flow dynamics around central thrombus pose a therapeutic dilema. We demonstrate the successful treatment of a patient with a large basilar donut aneurysm with a flow diverting stent without the use of embolisation coils in order to obviate the risk of further brainstem compression.

Keywords: Aneurysm; angiography; basilar artery; coil embolisation; donut sign; flow diverter stent.

Publication types

Case Reports

MeSH terms

Angiography, Digital Subtraction
Anticoagulants / therapeutic use
Basilar Artery*
Brain Stem / pathology
Cerebral Angiography
Computed Tomography Angiography
Diagnosis, Differential
Endovascular Procedures / methods*
Female
Humans
Intracranial Aneurysm / diagnostic imaging
Intracranial Aneurysm / therapy*
Intracranial Thrombosis / diagnostic imaging
Intracranial Thrombosis / therapy*
Magnetic Resonance Imaging
Middle Aged
Stents*

Substances

Anticoagulants