Ruptured aneurysms in perforating arteries are uncommon. We report a case of a basilar perforator artery aneurysm that was treated successfully using simple stenting to induce a rectifying effect without using a coil. In this case, coiling for the aneurysm was attempted initially, but it failed because of anatomical and practical problems. After placement of two stents in the basilar artery, the aneurysm was occluded completely without any neurological deficits at 100 days after the procedure. Although superselective coil embolization is ideal even in a small perforator aneurysm, simple stenting for a parent artery is a preferable treatment, especially in challenging cases for coil embolization of the aneurysmal dome.

中文翻译：

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一例简单的支架置入术治疗基底动脉穿孔瘤破裂。

穿孔动脉破裂的动脉瘤很少见。我们报告了一例基底动脉穿支动脉瘤，该患者使用简单的支架植入术成功治疗，无需使用线圈即可产生矫正效果。在这种情况下，最初尝试缠绕动脉瘤，但由于解剖和实际问题而失败。在基底动脉中放置两个支架后，在手术后100天将动脉瘤完全闭塞，没有任何神经系统缺陷。尽管即使在小的穿支动脉瘤中，超选择性线圈栓塞术也是理想的选择，但对亲代动脉进行简单的支架置入术仍是一种较好的治疗方法，尤其是在动脉瘤穹顶线圈栓塞的挑战性情况下。