PMID- 23077865 OWN - NLM STAT- MEDLINE DCOM- 20121126 LR - 20121019 IS - 0018-2052 (Print) IS - 0018-2052 (Linking) VI - 61 IP - 3 DP - 2012 Sep TI - Y-configured double stent-assisted coil embolization with double microcatheter technique for complex basilar bifurcation aneurysm. PG - 69-73 AB - Y-configured double stent technique is useful for coil embolization of a bifurcation wide neck aneurysm while preserving the patency of the two important vessels. However, if the important vessels emanating directly from the aneurysm comprised four vessels, two vessels not deployed, Y-stents might not be preserved with the Y-stent technique by itself. We report a case treated with Y-configured double stent-assisted coil embolization with a double microcatheter technique for complex basilar bifurcation aneurysm. A 78-year-old woman presented with a subarachnoid hemorrhage (SAH) of poor grade. CT-angiography showed a wide neck and shallow aneurysm of complex basilar bifurcation involving both posterior cerebral arteries (PCAs) and superior cerebellar arteries (SCAs). In the chronic stage of SAH, Y-configured double stent-assisted coil embolization with a double microcatheter technique was performed. After Y-stent (two Enterprise) deployment from both the PCAs to the basilar artery, coil embolization of a basilar bifurcation aneurysm was performed using a double microcatheter technique to preserve both SCAs. FAU - Sakamoto, Shigeyuki AU - Sakamoto S AD - Department of Neurosurgery, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. sakamoto@hiroshima-u.ac.jp FAU - Kiura, Yoshihiro AU - Kiura Y FAU - Kawamoto, Yukihiko AU - Kawamoto Y FAU - Murakami, Taro AU - Murakami T FAU - Okamura, Akitake AU - Okamura A FAU - Kurisu, Kaoru AU - Kurisu K LA - eng PT - Case Reports PT - Journal Article PL - Japan TA - Hiroshima J Med Sci JT - Hiroshima journal of medical sciences JID - 0421060 SB - IM MH - Aged MH - Catheterization/methods MH - Embolization, Therapeutic/*methods MH - Female MH - Humans MH - Intracranial Aneurysm/*therapy MH - *Stents MH - Subarachnoid Hemorrhage/*therapy EDAT- 2012/10/20 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/10/20 06:00 PHST- 2012/10/20 06:00 [entrez] PHST- 2012/10/20 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] PST - ppublish SO - Hiroshima J Med Sci. 2012 Sep;61(3):69-73.