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Technical Consideration for Coiling of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm
Journal of Korean Neurosurgical Society ; : 653-659, 2018.
Article in English | WPRIM | ID: wpr-788711
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.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Parents / Arteries / Subarachnoid Hemorrhage / Pica / Incidence / Aneurysm, Ruptured / Embolization, Therapeutic / Aneurysm Type of study: Incidence study / Prognostic study Limits: Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Parents / Arteries / Subarachnoid Hemorrhage / Pica / Incidence / Aneurysm, Ruptured / Embolization, Therapeutic / Aneurysm Type of study: Incidence study / Prognostic study Limits: Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2018 Type: Article