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Neuroradiology
Published in: Neuroradiology 3/2003

01-03-2003 | Interventional Neuroradiology

Endovascular treatment of PICA aneurysms

Authors: W. Mukonoweshuro, R. D. Laitt, D. G. Hughes

Published in: Neuroradiology | Issue 3/2003

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Abstract

Endovascular treatment of aneurysms of the posterior inferior cerebellar artery (PICA) avoids manipulation of the brainstem or lower cranial nerves and should therefore carry a lower risk of neurological morbidity than surgical clipping. We reviewed our experience of 23 patients with PICA aneurysms treated by endovascular occlusion with Guglielmi detachable coils and documented their long-term outcome on follow-up. We observed a 28 day procedure-related neurological morbidity of 13% (3/23 patients). One patient suffered permanent neurological complications. There were no procedure-related deaths. None of our patients suffered a re-bleed from their treated aneurysms. Our series shows endovascular treatment of ruptured PICA aneurysms to be safe and effective.
Literature
1.
Locksley HB (1966) Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 25: 219–239PubMed
2.
Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, Garcia-Bengochea F (1983) Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 58:381–387PubMed
3.
Salcman M, Rigamonti D, Numaguchi Y, et al (1990) Aneurysms of the posterior inferior cerebellar artery–vertebral artery complex: variations on a theme. Neurosurgery 27:12–21PubMed
4.
Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet I:480–484
5.
Lister JR, Rhoton AL, Matsushima T, et al (1982) Microsurgical anatomy of the posterior inferior cerebellar artery. Neurosurgery 10: 170–199PubMed
6.
Horowitz M, Kopitnik T, Landreneau F, et al (1998) Posterior inferior cerebellar artery aneurysms: surgical results for 38 patients. Neurosurgery 43:1026–1032PubMed
7.
Hayakawa M, Murayama Y, Duckwiler GR, et al (2000) Natural history of the neck remnant of a cerebral aneurysm treated with the Guglielmi detachable coil system. J Neurosurg 93: 561–568PubMed
8.
Vinuela F, Duckwiler G, Mawad M (1997) Guglielmi detachable coil embolisation of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86: 475-482PubMed
9.
Byrne JV, Sohn MJ, Molyneux A (1999) Five-year experience in using coil embolization for ruptured intracranial aneurysms: outcomes and incidence of late rebleeding. J Neurosurg 90: 656–663PubMed
10.
Morris P (1997)Practical neuroangiography. Lippincott Williams & Wilkins, Baltimore, pp 227–230
11.
Lee SK, Gower DJ, Branch CL, et al (1989) Surgical repair of aneurysms of the posterior inferior cerebellar artery: a clinical series. Surg Neurol 31: 85–91PubMed
12.
Ushikoshi S, Kikuchi Y, Houkin K, et al (1999) Aggravation of brainstem symptoms caused by a large superior cerebellar artery aneurysm after embolization by Guglielmi detachable coils: case report. Neurol Med Chir 39: 524–529
13.
Malisch TW, Guglielmi G, Vinuela F, et al (1998) Unruptured aneurysms presenting with mass effect symptoms: response to endosaccular treatment with Guglielmi detachable coils. I. Symptoms of cranial nerve dysfunction. J Neurosurg 89: 956–961PubMed
14.
Hutchinson PJ, Power DM, Tripathi P, et al (2000) Outcome from poor grade aneurysmal subarachnoid haemorrhage: which poor grade subarachnoid haemorrhage patients benefit from aneurysm clipping? Br J Neurosurg 14: 105–109CrossRefPubMed
15.
Yoshimoto Y, Wakai S, Ochiai C, et al (1997) Significance of papillary reactivity in poor-grade aneurysm patients as a prognostic factor and an indication for active treatment. Br J Neurosurg 11: 25–31CrossRef
16.
Drake CG (1979) The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26: 96–144PubMed
17.
Yamaura A (1988) Diagnosis and treatment of vertebral aneurysms. J Neurosurg 69: 345–349PubMed
Metadata
Title
Endovascular treatment of PICA aneurysms
Authors
W. Mukonoweshuro
R. D. Laitt
D. G. Hughes
Publication date
01-03-2003
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 3/2003
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-002-0913-9

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