scholarly journals Horizontal Stenting via Retrograde Route for Recurrent Ruptured Posterior Communicating Artery Aneurysm after Clipping: A Case Report and Literature Review

Author(s):  
Michiyasu Fuga ◽  
Toshihide Tanaka ◽  
Rintaro Tachi ◽  
Ryo Nogami ◽  
Akihiko Teshigawara ◽  
...  

Treatment of recurrent ruptured aneurysms incorporating a branch vessel arising from the dome is challenging. Here, we attempted horizontal stent-assisted coil embolisation via a retrograde route from the contralateral internal carotid artery to treat a small ruptured posterior communicating artery aneurysm incorporating a foetal variant posterior cerebral artery after clipping.

2013 ◽  
Vol 19 (3) ◽  
pp. 306-312 ◽  
Author(s):  
Kyeong Duk Lee ◽  
Soon Chan Kwon ◽  
Sarawana Muniandy ◽  
Eun Suk Park ◽  
Hong Bo Sim ◽  
...  

There are many potential anatomical variations in the connection between the internal carotid artery and the posterior circulation through the posterior communicating artery (PCoA). We describe the endovascular treatment of an aneurysm arising near the origin of the PCoA belonging to a transitional type posterior cerebral artery. Coil embolization subsequently resulted in thrombo-occlusion of the adjacent PCoA causing thalamic infarction even though sufficient retrograde flow had been confirmed pre-operatively by Allcock's test.


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