Abstract Number ‐ 83: First WEB case. Direct vertebral artery access for basilar tip artery aneurysm

Abstract

Introduction being able to think of different accesses does not change the possibilities with each patient Methods case report Results Patient with subarachnoid hemorrhage in the posterior fossa. A tomography is performed that confirms the hemorrhage and a vascular lesion that is visualized at the top of the basilar artery. For the procedure, radial and femoral access was performed without achieving stable access to the basilar artery. Therefore, after multiple attempts, we consider that the best option is direct V2 left vertebral puncture. Access was achieved by vertebral puncture to the aneurysm and occlusion was performed on the top of the basilar artery. Tomographic controls were performed without complications. Patient then presented severe pulmonary compromise that required intubation and prolonged stay in the ICU. Control is performed after a month with adequate occlusion of the aneurysmal lesion. Conclusions it’s nothing new just follow what nelson hopkins says: If You Want to Learn New Things, Read Old Books: Cutdown Techniques Are Well Described in the Old Literature