Pipeline flow diverter-assisted coil embolization for the treatment of recurrent vertebrobasilar junction dissecting aneurysm under local anesthesia:a case report
Dong Linggen
Lv Ming
Abstract：Spontaneous vertebrobasilar artery dissecting aneurysms are a significant cause of subarachnoid hemorrhage and posterior circulation ischemic strokes in young to middle-aged individuals.This paper reports a case of a recurrent vertebrobasilar junction dissecting aneurysm in a 63-year-old male patient.The patient successfully underwent Pipeline flow diverter-assisted coil embolization under local anesthesia.During the procedure,real-time communication with the patient confirmed his condition,and no neurological deficits or other complications were observed postoperatively.This case demonstrates the clinical feasibility of using Pipeline flow diverter-assisted coil embolization for the treatment of recurrent vertebrobasilar junction dissecting aneurysms under local anesthesia.This approach not only avoids the risks associated with general anesthesia but also allows for intraoperative real-time neurological monitoring,providing a novel clinical strategy for the individualized management of such complex cases.
Keywords：Intracranial aneurysmPipeline embolization deviceLocal anesthesia
Publication Date：2025-02-20
Online Publishing Date：2025-10-31(First online date of this platform, not the publication date of the document)
Pages：2( 77-78 )