Ruptured Bilobed Basilar Artery Fenestration Aneurysm Treated with a WEB Device. 2021

Tessa Drijkoningen, and Ido van den Wijngaard, and Elyas Ghariq
Radiology Department, Haaglanden Medisch Centrum, Den Haag, The Netherlands.

To describe the technique of using a Woven Endo Bridge (WEB) device to treat a ruptured bilobed blister-like aneurysm (BLA) at the basilar artery (BA) fenestration. A previously healthy 66-year-old female presented at the emergency room with subarachnoid hemorrhage (SAH), centered around the brainstem. Unenhanced CT and CT angiography showed a BLA of a basilar fenestration limb. The angiogram confirmed the diagnosis. A WEB device was chosen to treat this rare and challenging aneurysm. In this article, we describe the successful endovascular treatment of a SAH patient with a ruptured BLA at the basilar artery fenestration using a WEB device. And an overview of treatment options is provided.

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