Staged coiling and flow diversion for a ruptured persistent primitive hypoglossal artery aneurysm: illustrative case.

Key Points

• This research aims to evaluate the effectiveness of a staged strategy for treating ruptured persistent primitive hypoglossal artery aneurysms.
• Describes a staged approach involving acute stentless coiling followed by flow diversion.
• Includes anatomical evaluation focusing on perforators and vascular variants.
• Utilizes antiplatelet optimization for enhanced treatment outcomes.
• The staged approach balances immediate protection with durable vascular reconstruction.
• Anatomical evaluations were critical in facilitating treatment decisions.
• Enhanced outcomes were reported due to tailored antiplatelet therapy.