Abstract
Report the de novo formation of an aneurysm after wingspan placement and describe the treatment modality. We report a patient with symptomatic basilar stenosis who underwent placement of a wingspan stent. On 9-month follow-up, the patient was found to have a new 5-mm aneurysm adjacent to the proximal tines of the stent. The patient subsequently underwent placement of an enterprise stent and coils for aneurysm occlusion. We reviewed the literature and discussed possible etiologies for the development of this unique de novo aneurysm.
References
de Gast AN, Sprengers ME, van Rooij WJ, Lavini C, Sluzewski M, Majoie CB (2007) Long-term 3 T MR angiography follow-up after therapeutic occlusion of the internal carotid artery to detect possible de novo aneurysm formation. AJNR Am J Neuroradiol 28:508–510
Dyste GN, Beck DW (1989) De novo aneurysm formation following carotid ligation: case report and review of the literature. Neurosurgery 24:88–92
Ferns SP, Sprengers ME, van Rooij WJ, van den Berg R, Velthuis BK, de Kort GA, Sluzewski M, van Zwam WH, Rinkel GJ, Majoie CB (2010) De Novo aneurysm formation and growth of untreated aneurysms: a 5-year MRA follow-up in a large cohort of patients with coiled aneurysms and review of the literature. Stroke. doi:10.1161/STROKEAHA.110.591594
Fiorella D, Levy EI, Turk AS, Albuquerque FC, Niemann DB, Aagaard-Kienitz B, Hanel RA, Woo H, Rasmussen PA, Hopkins LN, Masaryk TJ, McDougall CG (2007) US multicenter experience with the wingspan stent system for the treatment of intracranial atheromatous disease: periprocedural results. Stroke 38:881–887. doi:10.1161/01.STR.0000257963.65728.e8
Gao L, Hoi Y, Swartz DD, Kolega J, Siddiqui A, Meng H (2008) Nascent aneurysm formation at the basilar terminus induced by hemodynamics. Stroke 39:2085–2090. doi:10.1161/STROKEAHA.107.509422
Graf CJ, Hamby WB (1964) Report of a case of cerebral aneurysm in an adult developing apparently de novo. J Neurol Neurosurg Psychiatry 27:153–156
Huang PP, Kamiryo T, Nelson PK (2001) De novo aneurysm formation after stereotactic radiosurgery of a residual arteriovenous malformation: case report. AJNR Am J Neuroradiol 22:1346–1348
Juvela S, Poussa K, Porras M (2001) Factors affecting formation and growth of intracranial aneurysms: a long-term follow-up study. Stroke 32:485–491
Kawahara I, Nakamoto M, Matsuo Y, Tokunaga Y (2010) De novo basilar head aneurysms–two case reports. Neurol Med Chir (Tokyo) 50:54–56
Levy EI, Turk AS, Albuquerque FC, Niemann DB, Aagaard-Kienitz B, Pride L, Purdy P, Welch B, Woo H, Rasmussen PA, Hopkins LN, Masaryk TJ, McDougall CG, Fiorella DJ (2007) Wingspan in-stent restenosis and thrombosis: incidence, clinical presentation, and management. Neurosurgery 61:644–50. doi:10.1227/01.NEU.0000290914.24976.83, discussion 650–1
Matyas G, Arnold E, Carrel T, Baumgartner D, Boileau C, Berger W, Steinmann B (2006) Identification and in silico analyses of novel TGFBR1 and TGFBR2 mutations in Marfan syndrome-related disorders. Hum Mutat 27:760–769. doi:10.1002/humu.20353
Miller CA, Hill SA, Hunt WE (1985) "De novo" aneurysms. A clinical review. Surg Neurol 24:173–180
Nishimoto T, Yuki K, Sasaki T, Murakami T, Kodama Y, Kurisu K (2005) A ruptured middle cerebral artery aneurysm originating from the site of anastomosis 20 years after extracranial-intracranial bypass for moyamoya disease: case report. Surg Neurol 64:261–265. doi:10.1016/j.surneu.2004.09.041, discussion 265
Prabhakaran S, Wells KR, Jhaveri MD, Lopes DK (2009) Hemodynamic changes following Wingspan stent placement—a quantitative magnetic resonance angiography study. J Neuroimaging. doi:10.1111/j.1552-6569.2009.00425.x
Schebesch KM, Doenitz C, Zoephel R, Finkenzeller T, Brawanski AT (2008) Recurrent subarachnoid hemorrhage caused by a de novo basilar tip aneurysm developing within 8 weeks after clipping of a ruptured anterior communicating artery aneurysm: case report. Neurosurgery 62:E259–E260. doi:10.1227/01.NEU.0000311087.19261.0A, discussion E260
Stiefel MF, Al-Okaili R, Weigele JB, Hurst RW (2007) De novo aneurysm formation and regression after brain arteriovenous malformation embolization: case report. Surg Neurol 67:99–101. doi:10.1016/j.surneu.2006.02.046, discussion 101
Yasuhara T, Tamiya T, Sugiu K, Inoue S, Ohmoto T (2002) De novo formation and rupture of an aneurysm. Case report. J Neurosurg 97:697–700. doi:10.3171/jns.2002.97.3.0697
Zaidat OO, Klucznik R, Alexander MJ, Chaloupka J, Lutsep H, Barnwell S, Mawad M, Lane B, Lynn MJ, Chimowitz M, NIH Multi-center Wingspan Intracranial Stent Registry Study Group (2008) The NIH registry on use of the Wingspan stent for symptomatic 70–99% intracranial arterial stenosis. Neurology 70:1518–1524. doi:10.1212/01.wnl.0000306308.08229.a3
Disclosure of funding
None.
Financial support and industry affiliations
None.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dalyai, R.T., Styliaras, J.C., Gonzalez, L.F. et al. De novo basilar artery aneurysm formation after placement of a Wingspan stent. Acta Neurochir 153, 2147–2150 (2011). https://doi.org/10.1007/s00701-011-1112-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00701-011-1112-4