Endovascular trapping is the preferred treatment method for a vertebral dissecting aneurysm. We describe a case of ruptured dissecting aneurysms located just proximal to the vertebrobasilar junction treated by trapping the dissecting segment and barricading the basilar artery with a stent to protect against coil protrusion. Modified parent artery trapping with a stent barricade allows preservation of the adjoining confluent zone or side branch during endovascular trapping of the vertebral dissection.
RabinovJDHellingerFR. Endovascular management of vertebrobasilar dissecting aneurysms. Am J Neuroradiol. 2003; 24 (7): 1421–8.
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AhnJYHanIB. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling. Am J Neuroradiol. 2006; 27 (7): 1514–20.
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BenndorfGHerbonU. Treatment of a ruptured dissecting vertebral artery aneurysm with double stent placement: case report. Am J Neuroradiol. 2001; 22 (10): 1844–8.
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LylykPCohenJE. Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils. J Neurosurg. 2001; 94 (3): 427–32.
