{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:22:09Z","timestamp":1759191729199,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J NeuroIntervent Surg"],"accepted":{"date-parts":[[2022,5,3]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Endovascular treatment of recurrent basilar aneurysms is challenging due to significant changes in the configuration of the aneurysm and adjacent vessels from prior interventions.1 Coil compaction is a common cause of recurrence and alters the aneurysm morphology significantly.2\u20134 Stenting of the basilar artery into a posterior cerebral artery modifies the angles between these vessels.5 In this video, we discuss a combined approach via the anterior and posterior circulation for stent-assisted coiling of a recurrent basilar tip aneurysm (Video 1) . A patient in their 40s with a history of ruptured aneurysm underwent multiple endovascular interventions including coiling, stent-assisted coiling, and Woven Endobridge (WEB) device. The patient presented with worsening headaches and underwent treatment with stent-assisted coiling for recurrence. After encountering challenges with direct access from the basilar artery, a combined anterior and posterior circulation approach was used.6 The stent was deployed through the posterior communicating artery and a snare was used to navigate the complex anatomy.<\/jats:p>\n               <jats:p>\n                  <jats:fig position=\"float\" id=\"V1\" orientation=\"portrait\">\n                     <jats:label>Video 1<\/jats:label>\n                     <jats:caption>\n                        <jats:title>\u2009<\/jats:title>\n                     <\/jats:caption>\n                     <jats:media xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:role=\"media-player-id\" xlink:href=\"BMJ Journals Video Player\" id=\"media1\" mimetype=\"application\" mime-subtype=\"mp4\" content-type=\"play-in-place height-270 width-480\" position=\"float\" orientation=\"portrait\"\/>\n                  <\/jats:fig>\n               <\/jats:p>","DOI":"10.1136\/neurintsurg-2022-019002","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T13:53:53Z","timestamp":1653314033000},"page":"512-512","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Combined anterior and posterior circulation approach for stent-assisted coiling of a recurrent basilar tip aneurysm"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8950-1762","authenticated-orcid":false,"given":"Ricardo A","family":"Domingo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Ramos-Fresnedo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishnan","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabih G","family":"Tawk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"2025092912042669000_15.5.512.1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000564"},{"key":"2025092912042669000_15.5.512.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.127480"},{"key":"2025092912042669000_15.5.512.3","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3182797952"},{"key":"2025092912042669000_15.5.512.4","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1996.84.3.0393"},{"key":"2025092912042669000_15.5.512.5","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-81132-8"},{"key":"2025092912042669000_15.5.512.6","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1159\/000479704","article-title":"Hybrid retrograde-antegrade recanalization of acute basilar artery occlusion","volume":"6","author":"Rossen","year":"2017","journal-title":"Interv Neurol"}],"container-title":["Journal of NeuroInterventional Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/neurintsurg-2022-019002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T19:04:33Z","timestamp":1759172673000},"score":1,"resource":{"primary":{"URL":"https:\/\/jnis.bmj.com\/lookup\/doi\/10.1136\/neurintsurg-2022-019002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,20]]},"references-count":6,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,4,13]]},"published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1136\/neurintsurg-2022-019002"],"URL":"https:\/\/doi.org\/10.1136\/neurintsurg-2022-019002","relation":{},"ISSN":["1759-8478","1759-8486"],"issn-type":[{"type":"print","value":"1759-8478"},{"type":"electronic","value":"1759-8486"}],"subject":[],"published":{"date-parts":[[2022,5,20]]}}}