A case report of Y stent assisted coiling of a basilar tip aneurysm combined with top of the basilar syndrome and a literature review

作者：Qu Yinmeng; Zhao Yuhao; Yang Yi^*

来源：International Journal of Clinical and Experimental Medicine, 2018, 11(6): 6260-6267.

• Y stent
• top of the basilar syndrome (TBOS)
• vasospasm

Objective: To report a rare case of Y stent assisted coiling of a basilar tip aneurysm combined with postoperative top of the basilar syndrome (TBOS) to improve the understanding of technical complications of Y stent use. Case report: A female patient, 55 years old, exhibited a subarachnoid hemorrhage. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) findings suggested a basilar tip aneurysm. The patient underwent interventional Y stent assisted aneurysm coiling embolization. The operation was successful. After the operation, the patient exhibited clear consciousness, fluent expression, and flexible limbs and was returned to the ward safely. Approximately 20 h after the operation, the patient suddenly developed TBOS and was administered low-molecular-weight heparin anticoagulation, anti-vasospasm treatment and underwent therapy to improve circulation and prevent ion disorders. The patient's symptoms gradually stabilized. The imaging results confirmed a rare case of TBOS. Results: The patient recovered well and was followed up for 20 months without recurrence of the aneurysm or development of new infarction symptoms. Conclusion: The application of a Y stent is a high-risk factor for TBOS; therefore, the Y stents should be carefully applied to the basal artery.

• 出版日期2018
• 单位吉林大学