International Journal of Medical Sciences

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20 October 2017

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Int J Med Sci 2011; 8(3):263-269. doi:10.7150/ijms.8.263

Case Report

Endovascular Treatment of Bilateral Carotid Artery Occlusion with Concurrent Basilar Apex Aneurysm: A Case Report and Literature Review

Kan Xu1,*, Honglei Wang1,*, Qi Luo1, Ye Li2, Jinlu Yu1,✉

1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, PR China
2. Department of Radiology, First Hospital of Jilin University, Changchun, 130021, PR China
* Kan Xu and Honglei Wang contributed equally to the work.

Abstract

We report a case of successful endovascular treatment of bilateral carotid artery occlusion with concurrent basilar apex aneurysm. An elderly female patient with subarachnoid hemorrhage (SAH) onset was admitted to the hospital. Computed tomography (CT) and digital subtraction angiography (DSA) confirmed the presence of bilateral carotid artery occlusion with concurrent basilar apex aneurysm. Brain blood supply was provided by the bilateral vertebral artery through the basilar artery. We treated the aneurysm with the endovascular approach by embolizing the aneurysm with three coils. The patient recovered well after surgery and showed no recanalization of the aneurysm on a one-year follow-up DSA. We also reviewed six similar cases found with a PUBMED database search (1980-2010), including those with bilateral common carotid artery occlusion. In conclusion, by using the endovascular approach, bilateral carotid artery occlusion with concurrent basilar apex aneurysm was efficiently treated.

Keywords: carotid artery occlusion, basilar apex aneurysm, endovascular treatment

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How to cite this article:
Xu K, Wang H, Luo Q, Li Y, Yu J. Endovascular Treatment of Bilateral Carotid Artery Occlusion with Concurrent Basilar Apex Aneurysm: A Case Report and Literature Review. Int J Med Sci 2011; 8(3):263-269. doi:10.7150/ijms.8.263. Available from http://www.medsci.org/v08p0263.htm