Case Report: “Stent-within-a-Stent” technique after telescopic flow diverter reconstruction for basilar artery aneurysm with proximal stenosis

This case illustrates the technical challenges of managing complex basilar artery aneurysms and emphasizes the role of adjunctive stenting in stabilizing flow diverters. Carefully individualized endovascular strategies that account for fusiform morphology, long-segment arterial involvement, atherosclerotic changes, and the perforator-rich environment, together with technical challenges such as the need for telescopic reconstruction or adjunctive balloon angioplasty, are essential for enhancing procedural safety and achieving durable aneurysm occlusion in high-risk patients.