Technical Consideration for Coiling of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm.

Abstract:

OBJECTIVE:Surgical obliteration of ruptured aneurysm of the proximal posterior inferior cerebellar artery (PICA) is challenging because of limited surgical accessibility. In recent years, coil embolization is the first-choice treatment for these lesions. However, coil embolization is not always easy in ruptured PICA aneurysm owing to the variable anatomical diversity of its shapes, its relationship to the parent artery, its low incidence, and accordingly, lesser neurointerventionist experience. METHODS:The parent artery and microcatheter for easier navigation and the embolization technique for stable coiling were identified. RESULTS:This study aimed to identify the more appropriate approach route, microcatheter, and strategies for an easier and safer, and more durable coil embolization in the treatment of lesions in the proximal PICA. CONCLUSION:Coil embolization for aneurysmal subarachnoid hemorrhage due to a ruptured proximal PICA remains a challenge, but with the appropriate coiling plan, it can be treated successfully.

journal_name

J Korean Neurosurg Soc

authors

Kim JH,Jeon IC,Chang CH,Jung YJ

doi

10.3340/jkns.2017.0229

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

653-659

issue

5

eissn

2005-3711

issn

1598-7876

pii

jkns.2017.0229

journal_volume

61

pub_type

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