Endovascular Management of Posterior Cerebral Artery Aneurysms: Initial Experience

Zhao, Z.-W.; Deng, J.-P.; Gao, L.; Gao, G.-D.
September 2008
Interventional Neuroradiology;Sep2008, Vol. 14 Issue 3, p253
Academic Journal
The purposes of this study were to evaluate the efficacy and safety of the endovascular management of posterior cerebral artery aneurysms and compare the efficacy and safety of selective aneurysmal coiling and parent artery occlusion.We reviewed all cases with cerebral aneurysms and attention was paid to the patients with posterior cerebral artery aneurysms. Among 550 aneurysms, eight aneurysms in eight patients were located on the posterior cerebral artery, three of which presented with SAH, whereas five presented with different degrees of headache. Seven were located at the P2 segment and one at the P3 segment. One was a giant serpentine aneurysm, two were giant sac aneurysms, two were large and three were small.All aneurysms were successfully treated, five with selective aneurysmal coiling and three with parent artery occlusion. Two patients presenting with headache with giant aneurysms had suffered an aggravated headache for two weeks which then resolved. Others had an uneventful recovery. All patients were followed from 12 months to 56 months. Four selective aneurysmal coiling aneurysms received digital subtraction angiography, two of which needed another treatment and one was treated with parent artery occlusion, one of which recanalized slightly and one of which had further thrombosis. No rebleeding or any other symptom occurred.Whether selective aneurysmal coiling or parent artery occlusion was performed, endovascular management of PCA aneurysms was a safe and effective method. Under some conditions, parent artery occlusion was better than selective aneurysmal coiling.


Related Articles

  • Dual- versus Single-Energy CT-Angiography Imaging for Patients Undergoing Intracranial Aneurysm Repair. abdulazim, amr; Rubbert, Christian; Reichelt, Dorothea; Mathys, Christian; Turowski, Bernd; Steiger, Hans-Jakob; Hänggi, Daniel; Etminan, Nima // Cerebrovascular Diseases;Jun2017, Vol. 43 Issue 5/6, p272 

    Background: The invasiveness and risk of thromboembolic complications of catheter angiography underline the need for alternative imaging modalities in patients following intracranial aneurysm (IA) repair. However, the overall image quality of existing noninvasive imaging modalities, such as...

  • Impact of Collateral Status on Successful Revascularization in Endovascular Treatment: A Systematic Review and Meta-Analysis. Leng, Xinyi; Fang, Hui; Leung, Thomas W.H.; Mao, Chen; Xu, Yuming; Miao, Zhongrong; Liu, Liping; Wong, K.S. Lawrence; Liebeskind, David S. // Cerebrovascular Diseases;Feb2016, Vol. 41 Issue 1/2, p27 

    Background: Pre-treatment collateral status may be associated with the rates of successful revascularization in acute ischemic stroke patients receiving endovascular treatment (EVT). We conducted a systematic review and meta-analysis to synthesize relevant evidence currently available. Methods:...

  • Self-expanding stents and aortoiliac occlusive disease: a review of the literature. Bekken, Joost A.; Jongsma, Hidde; de Vries, Jean-Paul P. M.; Fioole, Bram // Medical Devices: Evidence & Research;2014, Vol. 7, p99 

    The treatment of symptomatic aortoiliac occlusive disease has shifted from open to endovascular repair. Both short- and long-term outcomes after percutaneous angioplasty and stenting rival those after open repair and justify an endovascular-first approach. In this article, we review the current...

  • Acute Endovascular Reperfusion Therapy in Ischemic Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Osanai, Toshiya; Pasupuleti, Vinay; Deshpande, Abhishek; Thota, Priyaleela; Roman, Yuani; Hernandez, Adrian V.; Uchino, Ken // PLoS ONE;Apr2015, Vol. 10 Issue 4, p1 

    Background: Randomized controlled trials (RCTs) of endovascular therapy for acute ischemic stroke have had inconsistent results. We evaluated the efficacy and safety of endovascular therapy in published RCTs. Methods: We performed a systematic review of RCTs of endovascular therapy with...

  • Diagnosing residual or recurrent cerebral aneurysms after clipping by computed tomographic angiography: Meta-analysis. Haogeng Sun; Junpeng Ma; Yi Liu; Zhigang Lan; Chao You; Sun, Haogeng; Ma, Junpeng; Liu, Yi; Lan, Zhigang; You, Chao // Neurology India;Jan/Feb2013, Vol. 61 Issue 1, p51 

    Background: A cerebral aneurysm with incomplete treatment may re-grow and cause new bleeding. This meta-analysis calculates the sensitivity and specificity of computed tomographic angiography (CTA) in the detection of the residual or recurrent cerebral aneurysms after clipping, in...

  • Circulating microRNA: a novel potential biomarker for early diagnosis of Intracranial Aneurysm Rupture a case control study. Hengwei Jin; Conghui Li; Huijian Ge; Yuhua Jiang; Youxiang Li // Journal of Translational Medicine;2013, Vol. 11 Issue 1, p1 

    Objective To investigate warning effect of serum miRNA for intracranial aneurysm rupture through microarray hybridization. Methods 24 were selected from 560 patients in our department and divided into group A, B, C and D. They are aneurysms with daughter aneurysms group, aneurysm without...

  • Kissing anterior communicating artery aneurysms: Diagnostic dilemma and management issues. Baldawa, S. S.; Menon, G.; Nair, S. // Journal of Postgraduate Medicine;Jan-Mar2011, Vol. 57 Issue 1, p44 

    Kissing aneurysms are unusual and relatively rare types of multiple intracranial arterial aneurysms. When located on the anterior communicating artery (ACoA), kissing aneurysms pose considerable diagnostic difficulty on preoperative conventional angiogram. Special angiographic views or 3D...

  • Ipsilateral foetal-type posterior cerebral artery is associated with cognitive decline after carotid revascularisation. Altinbas, Aysun; Hendrikse, Jeroen; Algra, Ale; van Zandvoort, Martine J. E.; Brown, Martin M.; Bonati, Leo H.; de Borst, Gert Jan; Kappelle, L. Jaap; van der Worp, H. Bart // BMC Neurology;2014, Vol. 14 Issue 1, p1 

    Background Stenosis of the internal carotid artery has been associated with cognitive impairment and decline. However, studies testing the effect of carotid revascularisation on cognition have had conflicting results. This may in part be explained by variation in the flow territory of the...

  • Temporal branch of the posterior cerebral artery arising from the posterior communicating artery diagnosed by MR angiography. Uchino, Akira; Suzuki, Chihiro // Surgical & Radiologic Anatomy;Jan2016, Vol. 38 Issue 1, p153 

    We report a case in which the temporal branch of the posterior cerebral artery (PCA) arose from the posterior communicating artery (PCoA) and was diagnosed by magnetic resonance (MR) angiography. The PCoA arose from its normal point on the supraclinoid internal carotid artery and fused with the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics