[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-415684-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-415684-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","dissecting-and-partially-thrombosed-basilar-artery-aneurysm-simultaneously-treated-with-2-different-types-of-endovascular-stents-case-report","Dissecting and partially thrombosed basilar artery aneurysm simultaneously treated with 2 different types of endovascular stents - Case report","","Partially thrombosed basilar artery aneurysms are large or giant lesions with poor prognosis, often causing brainstem compression, elevated stroke risk, and possible rupture with subarachnoid hemorrhage. Endovascular therapy is generally preferred over surgical clipping because it can reduce morbidity and mortality, although results depend on aneurysm location, morphology, and device selection. Stent-assisted coiling uses devices such as Accero and Acclino, each offering distinct benefits. This report describes simultaneous successful use of two different endovascular stents and emphasizes individualized device selection to optimize patient outcomes.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/dissecting-and-partially-thrombosed-basilar-artery-aneurysm-simultaneously-treated-with-2-different-types-of-endovascular-stents-case-report/415684/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/dissecting-and-partially-thrombosed-basilar-artery-aneurysm-simultaneously-treated-with-2-different-types-of-endovascular-stents-case-report/415684.png","ImageObject",300,407,{"name":42,"@type":43},"นรินทร์","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why are partially thrombosed basilar artery aneurysms considered high risk?","Question",{"text":63,"@type":64},"They are large or giant lesions with a poor prognosis and can be symptomatic, causing brainstem compression and increasing stroke risk. They also carry a rupture risk that may lead to subarachnoid hemorrhage.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why is endovascular therapy preferred over surgical clipping in this context?",{"text":68,"@type":64},"Surgical clipping is risky due to deep localization and procedure-related mortality and morbidity. Endovascular therapy is considered preferred because it is associated with lower morbidity and mortality rates.",{"name":70,"@type":61,"acceptedAnswer":71},"How do the Accero and Acclino stents differ in their design advantages?",{"text":72,"@type":64},"Accero is a self-expanding braided stent with excellent visibility, hemocompatibility, and vessel wall apposition, supported by its platinum-nitinol composition and BlueXide surface. Acclino is a closed-cell laser-cut design that supports seamless microcatheter compatibility, resheathing even after partial deployment, and high occlusion rates.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},415684,1790693491,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":97,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},2336475104957,"https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136","Radiology Ca s e Reports 21 (2026) 1073 – 1077  \nAvailable online [at](at www.sciencedirect.com)[ www.sciencedirect.com](at www.sciencedirect.com)  \njournal [homepage:](homepage: www.elsevier.com/locate/radcr)[ www.elsevier.com/locate/radcr](homepage: www.elsevier.com/locate/radcr)  \n| Case Report\u003Cbr>Dissecting and partially thrombosed basilar artery aneurysm simultaneously treated with 2 different types of endovascular stents ✩,✩✩\u003Cbr>Antonio Armando Caragliano, MDa, Agostino Tessitore, MDa, Giuseppe Cicero, MDa,b,∗, Orazio Buonomo, MDa, Mariano Velo, MDa, Davide Vicari, MDa, Antonio Pitrone, MDa, Valeria Garufi, MDc, Marco Cavallaro, MDa, Sergio Lucio Vinci, MDa,d\u003Cbr>a Neuroradiology Unit – Radiology Department University-Hospital A.O.U.“G. Martino” Messina, Via Consolare Valeria 1, Messina, 98100, Italy\u003Cbr>b Radiology Department, IRCCS “Bonino-Pulejo” Messina, Viale Europa 45, Messina, 98124, Italy\u003Cbr>c Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico“G. Martino” Messina, Via Consolare Valeria 1, Messina, 98100, Italy\u003Cbr>d Department of Biomedical Sciences and Morphological and Functional Imaging, Neuroradiology Unit, University of Messina, Policlinico “G. Martino” Messina, Via Consolare Valeria 1, Messina, 98100, Italy |  |  |\n| --- | --- | --- |\n| a r t i c l e i n f o |  | a b s t r a c t |\n| Article history:\u003Cbr>Received 7 September 2025 Revised 3 November 2025 Accepted 8 November 2025 |  | Partially thrombosed basilar artery aneurysms are large or giant lesions with a poor prognosis, posing significant treatment challenges. Symptomatic cases may result in brainstem compression, increased stroke risk, or rupture leading to subarachnoid hemorrhage. Endovascular therapy is the preferred treatment over surgical clipping due to lower morbidity and mortality rates. However, outcomes depend on aneurysm location, morphology, and device selection. Stent-assisted coiling is widely used, with the Accero and Acclino stents offering distinct advantages. The Accero stent, a self-expanding braided design, provides excellent visibility, hemocompatibility, and vessel wall apposition due to its platinum-nitinol composition and BlueXide surface technology. The Acclino stent, a closed-cell laser-cut design, ensures seamless microcatheter compatibility and high occlusion rates. This work describes a case in which these 2 different endovascular stents were simultaneously and successfully used, demonstrating that individualized approaches are essential to optimize patient’s outcomes.\u003Cbr>© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.\u003Cbr>This is an open access article under the CC BY-NC-ND license\u003Cbr>([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/)) |\n| Keywords:\u003Cbr>Basilar aneurysm Endovascular stent Neurointerventional radiology |  |  |\n\n✩ Competing Interests: The authors have declared that no competing interests exist.  \n✩✩ Acknowledgments: The authors declare that they did not receive any funding for this work.  \n∗ Corresponding author.  \nE-mail address: [giuseppe.cicero@irccsme.it](giuseppe.cicero@irccsme.it) (G. Cicero).  \n[https://doi.org/10.1016/j.radcr.2025.11.018](https://doi.org/10.1016/j.radcr.2025.11.018)  \n1930-0433/© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/by-nc-nd/4.0/](http://creativecommons.org/licenses/by-nc-nd/4.0/))  \nIntroduction  \nPartially thrombosed basilar artery aneurysms are typically oversized (large if ≥10 mm; giant if >25 mm) and are characterized by poor prognosis.  \nIn fact, they can be symptomatic due to brainstem compression, with a risk of stroke dramatically increasing within 5 years, or can also lead to rupture with subarachnoid hemorrhage as a potentially fatal consequence [1–4] .  \nPartially thrombosed aneurysms ","cbCait3Fxn8qPNKN","https://ap.wps.com/l/cbCait3Fxn8qPNKN","pdf",891848,"English","# Introduction\n## Treatment challenges and rationale for endovascular therapy\n## Device-specific considerations: Accero vs Acclino\n## Case approach and stent selection","[{\"question\":\"Why are partially thrombosed basilar artery aneurysms considered high risk?\",\"answer\":\"They are large or giant lesions with a poor prognosis and can be symptomatic, causing brainstem compression and increasing stroke risk. They also carry a rupture risk that may lead to subarachnoid hemorrhage.\"},{\"question\":\"Why is endovascular therapy preferred over surgical clipping in this context?\",\"answer\":\"Surgical clipping is risky due to deep localization and procedure-related mortality and morbidity. Endovascular therapy is considered preferred because it is associated with lower morbidity and mortality rates.\"},{\"question\":\"How do the Accero and Acclino stents differ in their design advantages?\",\"answer\":\"Accero is a self-expanding braided stent with excellent visibility, hemocompatibility, and vessel wall apposition, supported by its platinum-nitinol composition and BlueXide surface. Acclino is a closed-cell laser-cut design that supports seamless microcatheter compatibility, resheathing even after partial deployment, and high occlusion rates.\"}]","Dissecting and partially thrombosed basilar artery aneurysm simultaneously treated with 2 different types of endovascular stents - Case report | PDF",1790602417,13]