Endovascular management of basilar XXXX associated with fenestrations.

@entity1 @entity439 @entity432 @entity438
BACKGROUND AND PURPOSE: Arterial fenestrations are associated with @entity439 that are often difficult to treat with open surgical techniques. We evaluated our experience with endovascular treatment of such @entity439 . METHODS: Ten consecutive @entity1 with 11 basilar @entity438 associated with fenestrations were treated with coils by means of the endovascular route between November 1994 and February 2000. All @entity1 underwent endovascular embolization by the femoral approach, under general anesthesia. Twelve embolization procedures were perfomed in the 10 @entity1 . RESULTS: Nine proximal and two distal basilar @entity438 were treated successfully. The embolization was complete in 10 of the 11 @entity439 . It was incomplete in one case, and complete @entity432 could not be achieved at the second attempt. There was one regrowth at 1-year follow-up, which was successfully treated again. Four of the @entity439 were treated initially with @entity439 with regrowth and one with incomplete @entity432 were treated with balloon remodeling at the second embolization procedure. In one case, one limb of the fenestration was sacrificed. CONCLUSION: Endovascular treatment of basilar @entity438 associated with fenestrations appears to offer advantages over traditional open surgical techniques.
