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Coil Embolization Results of the Ruptured Proximal Posteriori Inferior Cerebellar Artery Aneurysm: A Single-Center 10 Years' Experience.

Abstract：

OBJECTIVE:To report a single-center experience with endovascular treatment of ruptured proximal posterior inferior cerebellar artery (PICA) aneurysms. METHODS:Between January 2007 and December 2016, among 1403 patients with aneurysmal subarachnoid hemorrhage, 15 with ruptured proximal PICA aneurysms underwent endovascular embolization at our institution. Aneurysmal obliteration with a single microcatheter was performed in 9 patients. Additional microcatheter or stent-assisted coil embolization was performed in 4 patients and parent artery occlusion in 2 patients. RESULTS:Immediate angiographic results showed 10 complete occlusions (66.7%, 10/15). Five patients showed incomplete occlusion (remnant neck in 4 patients, remnant aneurysm in 1). Of those, 2 patients experienced recurrence and required conversion to microsurgical clipping. The remaining 2 patients remained in relatively stable condition. Procedure-related complications occurred in 3 patients (20%, with thromboembolic complications in 2 patients and intraprocedural rupture in 1). Clinical outcome was excellent: Glasgow Outcome Score 4 or 5 in 12 of 15 patients (80%). There was no rebleeding during follow-up. CONCLUSIONS:Ruptured proximal PICA aneurysms may be effectively treated with endovascular coil embolization. A variety of coil embolization techniques are required to obliterate an aneurysm without parent artery occlusion. Given that recurrence is possible, follow-up is required. Surgical clipping can be performed for recurrence with a relatively low risk of complications, because the aneurysm is unruptured. Coil embolization of a proximal PICA aneurysm in the acute phase can be a good treatment modality with good patient outcomes.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Kim J,Chang C,Jung YJ

doi

10.1016/j.wneu.2018.06.105

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

e645-e652

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)31321-4

journal_volume

117

pub_type

杂志文章

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