Combined endoscope-assisted transclival clipping and endovascular stenting of a basilar trunk aneurysm: Case report

Jean A. Eloy, Andrea Carai, Aman B. Patel, Eric M. Genden, Joshua B. Bederson

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

OBJECTIVE: We describe a patient with a mid-basilar aneurysm treated with combined endoscope-assisted transsphenoidal clipping and endovascular stenting. CLINICAL PRESENTATION: A 28-year-old woman was transferred to the cranial base surgery center with an acute Grade III subarachnoid hemorrhage. Cerebral angiography demonstrated a small basilar trunk aneurysm that was not amenable to acute endovascular treatment. INTERVENTION: The patient underwent sublabial transsphenoidal/transclival endoscope-assisted clipping of the aneurysm and subsequent stenting of the affected segment. The aneurysm was repaired with a low-profile Weck clip (Weck Closure Systems Research, Triangle Park, NC) that permitted a watertight closure of the clival dura using cardiac Medtronic U-clips (Medtronic, Inc., Minneapolis, MN). Postoperatively, the patient had no evidence of cerebrospinal fluid leakage. CONCLUSION: Watertight dural closure was possible due to the use of a low-profile aneurysm clip that did not protrude through the dural defect, as well as self-tying sutures.

Original languageEnglish (US)
Pages (from-to)ONSE142-ONSE144
JournalNeurosurgery
Volume62
Issue number3 SUPPL. 1
DOIs
StatePublished - Mar 2008
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Keywords

  • Basilar trunk aneurysm
  • Endoscopic transsphenoidal clipping
  • Endovascular stenting

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