Endovascular management of basilar artery perforator aneurysm – Insights

Basilar artery perforator aneurysm (BAPA), are rare (<1%), and with poorly defined natural history and management. BAPA was first reported by Ghogawala et al. (1996) and surgically obliterated. The management strategies are varied with 15% surgical and 52% by endovascular techniques. Notably 33%...

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Main Authors:	Arunkumar Sekar, MCh Neurosurgery, Swaroop Gopal, MCh Neurosurgery, Satish Rudrappa, MCh Neurosurgery, FASS, H.R. Sunil, Dheeraj Masapu
Format:	Article
Language:	English
Published:	Elsevier 2019-12-01
Series:	Interdisciplinary Neurosurgery
Online Access:	http://www.sciencedirect.com/science/article/pii/S2214751919302282

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spelling	doaj-0ff467b1cf5141fabd7e367427be26d42020-11-24T22:00:29ZengElsevierInterdisciplinary Neurosurgery2214-75192019-12-0118Endovascular management of basilar artery perforator aneurysm – InsightsArunkumar Sekar, MCh Neurosurgery0Swaroop Gopal, MCh Neurosurgery1Satish Rudrappa, MCh Neurosurgery, FASS2H.R. Sunil3Dheeraj Masapu4Department of Neurosciences, Sy.No. 52/2 & 52/3, Devarabeesanahalli, Varthur Hobli, Sakra World Hospital, Bellandur, Bangalore 560103, IndiaDepartment of Neurosciences, Sy.No. 52/2 & 52/3, Devarabeesanahalli, Varthur Hobli, Sakra World Hospital, Bellandur, Bangalore 560103, India; Corresponding author.Department of Neurosciences, Sy.No. 52/2 & 52/3, Devarabeesanahalli, Varthur Hobli, Sakra World Hospital, Bellandur, Bangalore 560103, IndiaDepartment of Neuroanaesthesia, Sy.No. 52/2 & 52/3, Devarabeesanahalli, Varthur Hobli, Sakra World Hospital, Bellandur, Bangalore 560103, IndiaDepartment of Neurosciences, Sy.No. 52/2 & 52/3, Devarabeesanahalli, Varthur Hobli, Sakra World Hospital, Bellandur, Bangalore 560103, IndiaBasilar artery perforator aneurysm (BAPA), are rare (<1%), and with poorly defined natural history and management. BAPA was first reported by Ghogawala et al. (1996) and surgically obliterated. The management strategies are varied with 15% surgical and 52% by endovascular techniques. Notably 33% adopted conservative management. In the endovascular group direct coiling has been reported in only 3 cases. We report another case of BAPA managed by super-selective direct coil obliteration and the technical challenges associated with coiling of these aneurysms. Keywords: Basilar artery perforator aneurysm, Flow guided microcatheter, Subarachnoid hemorrhage, Super selective coilinghttp://www.sciencedirect.com/science/article/pii/S2214751919302282
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Arunkumar Sekar, MCh Neurosurgery Swaroop Gopal, MCh Neurosurgery Satish Rudrappa, MCh Neurosurgery, FASS H.R. Sunil Dheeraj Masapu
spellingShingle	Arunkumar Sekar, MCh Neurosurgery Swaroop Gopal, MCh Neurosurgery Satish Rudrappa, MCh Neurosurgery, FASS H.R. Sunil Dheeraj Masapu Endovascular management of basilar artery perforator aneurysm – Insights Interdisciplinary Neurosurgery
author_facet	Arunkumar Sekar, MCh Neurosurgery Swaroop Gopal, MCh Neurosurgery Satish Rudrappa, MCh Neurosurgery, FASS H.R. Sunil Dheeraj Masapu
author_sort	Arunkumar Sekar, MCh Neurosurgery
title	Endovascular management of basilar artery perforator aneurysm – Insights
title_short	Endovascular management of basilar artery perforator aneurysm – Insights
title_full	Endovascular management of basilar artery perforator aneurysm – Insights
title_fullStr	Endovascular management of basilar artery perforator aneurysm – Insights
title_full_unstemmed	Endovascular management of basilar artery perforator aneurysm – Insights
title_sort	endovascular management of basilar artery perforator aneurysm – insights
publisher	Elsevier
series	Interdisciplinary Neurosurgery
issn	2214-7519
publishDate	2019-12-01
description	Basilar artery perforator aneurysm (BAPA), are rare (<1%), and with poorly defined natural history and management. BAPA was first reported by Ghogawala et al. (1996) and surgically obliterated. The management strategies are varied with 15% surgical and 52% by endovascular techniques. Notably 33% adopted conservative management. In the endovascular group direct coiling has been reported in only 3 cases. We report another case of BAPA managed by super-selective direct coil obliteration and the technical challenges associated with coiling of these aneurysms. Keywords: Basilar artery perforator aneurysm, Flow guided microcatheter, Subarachnoid hemorrhage, Super selective coiling
url	http://www.sciencedirect.com/science/article/pii/S2214751919302282
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Endovascular management of basilar artery perforator aneurysm – Insights

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