{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:29:06Z","timestamp":1761823746225,"version":"3.40.4"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,8]]},"abstract":"<jats:p>A 49-year-old woman was admitted with Hunt and Hess grade 1 subarachnoid haemorrhage. A cerebral aneurysm of the intracranial left vertebral artery (VA) distal to the left posterior inferior cerebellar artery (PICA) was found and treated using parent vessel occlusion with coils. The PICA was preserved. Angiography at three time points during her hospitalisation showed a normal right VA. Eight months later, angiography demonstrated a new 14\u2005mm right VA dissecting aneurysm with 90% outflow stenosis and recurrence of the left VA aneurysm distal to the coils. A Marksman microcatheter would not traverse the stenosis despite the use of two intraluminal wires. Following Gateway balloon (1.5\u2005mm\u00d79\u2005mm) angioplasty, the Marksman passed easily. The pipeline embolisation device (PED) was successfully deployed across the aneurysm and 11 coils placed through a trapped microcatheter. The patient was discharged home 2\u2005days later. Eighteen-month follow-up has revealed complete resolution of both aneurysms.<\/jats:p>","DOI":"10.1136\/bcr-2015-210485","type":"journal-article","created":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T08:13:36Z","timestamp":1437466416000},"page":"bcr2015210485","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of a dissecting vertebral artery aneurysm with angioplasty and the pipeline embolisation device"],"prefix":"10.1136","volume":"2015","author":[{"given":"Veer A","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrik","family":"Leonard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Sessions","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William E","family":"Holloway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,21]]},"reference":[{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.46.32"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.2","doi-asserted-by":"publisher","DOI":"10.1080\/02688690802195951"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.3","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.5329"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-012-1114-9"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.5","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000431"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.6","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2671"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.7","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2012-010358"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.8","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3380"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.9","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3065"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.10","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.617381"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.11","doi-asserted-by":"publisher","DOI":"10.1007\/BF02389328"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.12","first-page":"1514","article-title":"Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling","volume":"27","author":"Ahn","year":"2006","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.13","doi-asserted-by":"publisher","DOI":"10.3171\/2014.12.JNS141259"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-011-0948-x"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.15","first-page":"1","article-title":"Lesion location, stability, and pretreatment management: factors affecting outcomes of endovascular treatment for vertebrobasilar atherosclerosis","volume":"0","author":"Alexander","year":"2015","journal-title":"J Neurointerv Surg"},{"key":"2025042706500825000_2015.jul21_1.bcr2015210485.16","first-page":"34","article-title":"A randomized trial comparing primary angioplasty versus stent placement for symptomatic intracranial stenosis","volume":"6","author":"Qureshi","year":"2013","journal-title":"J Vasc Interv Neurol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:50:11Z","timestamp":1745761811000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,21]]},"references-count":16,"alternative-id":["10.1136\/bcr-2015-210485"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210485","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,7,21]]}}}