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. 2019 Mar 11;10:179. doi: 10.3389/fneur.2019.00179

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Copyright © 2019 Wang, Zhang, Lv, Yang, Tian, Liu, Liu, Miao, Jia, Chen, Ding, Zhang, Zhu, Li, Wang and Wang.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Images from a 10- to 12-year-old patient with a giant dissecting aneurysm located in the basilar artery (case 4). (A,B) Preoperative MRI showing a basilar giant dissecting aneurysm with compression of the brainstem (black arrow). (C,D) Preoperative anteroposterior angiograms of the LVA (C) and RVA (D) confirming a giant dissecting aneurysm located in the basilar artery. (E) Intraprocedural unsubtracted view showing successful insertion of the PED (3.5 × 35 mm) (black arrow). (F,G) Immediately postoperative anteroposterior angiograms of the LVA (F) and RVA (G) demonstrating excellent reconstruction of the basilar artery and evident contrast stasis in the lumen of the aneurysm. (H) CT performed 1 day after the procedure confirming no indications of SAH. LVA, left vertebral artery; RVA, right vertebral artery; PED, pipeline embolization device; SAH, subarachnoid hematoma.