scholarly journals Coil Embolization of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm with Contralateral Retrograde Approach for LVIS Jr. Intraluminal Support Deployment

2018 ◽  
Vol 20 (4) ◽  
pp. 235 ◽  
Author(s):  
Dong Sub Kim ◽  
Jae Hoon Sung ◽  
Dong Hoon Lee ◽  
Ho Jun Yi
Keyword(s):  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Retrograde Approach ◽  
Cerebellar Artery

Intractable Hiccups After Coil Embolization of Partially Thrombosed Posterior Inferior Cerebellar Artery Aneurysm

2018 ◽  
Vol 111 ◽  
pp. 251-254 ◽  
Author(s):  
Mitsuru Hashiguchi ◽  
Atsushi Fujita ◽  
Mitsuru Ikeda ◽  
Masashi Morikawa ◽  
Eiji Kohmura
Keyword(s):  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Cerebellar Artery ◽  
Intractable Hiccups

scholarly journals Using the Snare System to Cross the Acute-Angled Vertebrobasilar Junction in Treating Posterior Inferior Cerebellar Artery Aneurysm with the Stent-Assisted Method via a Retrograde Approach

2014 ◽  
Vol 20 (4) ◽  
pp. 418-423 ◽  
Author(s):  
Hee Sup Shin ◽  
Chang-Woo Ryu ◽  
Jun Seok Koh ◽  
Seung Hwan Lee
Keyword(s):  
Vertebral Artery ◽  
Effective Treatment ◽  
Basilar Artery ◽  
Guide Wire ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Retrograde Approach ◽  
Cerebellar Artery ◽  
Vertebrobasilar Junction ◽  
Pass Through

Retrograde stenting via the contralateral vertebral artery (VA) is a safe and effective treatment for posterior inferior cerebellar artery (PICA) aneurysm. Many methods, including tip shaping and the looping technique, have been attempted as ways to cross the vertebrobasilar (VB) junction. Here, we introduce an alternative method using a Snare system to overcome the acute-angled VB junction after repeated failures using other techniques. The Snare system was navigated to the proximal basilar artery via the ipsilateral VA. A guide-wire was introduced in the contralateral VA and gently advanced to the basilar artery in order to pass through the loop of the Snare system. Following this, the Snare system caught the guide-wire and it was very carefully pulled down to the ipsilateral VA crossing the VB junction. We suggest this technique as a method to cross the acute-angled VB junction after failure of all other attempts to overcome this challenge.

scholarly journals A Case of Ruptured Distal Posterior Inferior Cerebellar Artery Aneurysm Treated with Intra-aneurysmal Coil Embolization

2018 ◽  
Vol 12 (3) ◽  
pp. 142-147 ◽  
Author(s):  
Takashi Mizowaki ◽  
Atsushi Fujita ◽  
Te Jin Lee ◽  
Satoshi Inoue ◽  
Ryuichi Kuroda ◽  
...  
Keyword(s):  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Cerebellar Artery

scholarly journals Retrograde Stent Placement for Coil Embolization of a Wide-Necked Posterior Inferior Cerebellar Artery Aneurysm

2012 ◽  
Vol 13 (4) ◽  
pp. 510 ◽  
Author(s):  
Hong Gee Roh ◽  
Young Il Chun ◽  
Jin Woo Choi ◽  
Joon Cho ◽  
Won-Jin Moon ◽  
...  
Keyword(s):  
Stent Placement ◽  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Cerebellar Artery

Contralateral vertebral approach for stenting and coil embolization of a large, thrombosed vertebral–posterior inferior cerebellar artery aneurysm

2007 ◽  
Vol 107 (6) ◽  
pp. 1214-1216 ◽  
Author(s):  
Robert D. Ecker ◽  
Ricardo A. Hanel ◽  
Elad I. Levy ◽  
L. Nelson Hopkins
Keyword(s):  
Vertebral Artery ◽  
Coil Embolization ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Ipsilateral Side ◽  
Aneurysm Neck ◽  
Cerebellar Artery

✓The authors report the successful staged stenting and coil embolization of a large vertebral artery–posterior inferior cerebellar artery (VA-PICA) aneurysm using the contralateral VA for access. A 67-year-old woman presented with a large ruptured VA-PICA aneurysm. Initial attempts to stent the wide-necked aneurysm from the ipsilateral side failed, so coil embolization of the dome was performed. During a second endovascular session, the aneurysm neck was successfully stented from the contralateral VA into the PICA. Six weeks later, coils were inserted into the aneurysm from the ipsilateral side. The coil result was stable at the 3-month follow-up examination.

scholarly journals Persistent hypoglossal artery aneurysm: Case report and qualitative systematic review

2018 ◽  
Vol 25 (2) ◽  
pp. 164-171
Author(s):  
George H Tse ◽  
Andrew Martin ◽  
Richard A Dyde ◽  
Stuart C Coley
Keyword(s):  
Systematic Review ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Endovascular Coiling ◽  
Persistent Hypoglossal Artery ◽  
Randomised Study ◽  
Hypoglossal Artery ◽  
Qualitative Systematic Review ◽  
Cerebellar Artery ◽  
Patient Reported

A persistent hypoglossal artery was first described in 1889 and is one of the more common anatomical variations arising from aberration in normal development. Endovascular coiling has been recognised as a robust treatment for acutely ruptured intracranial arterial aneurysms, although specific data regarding an aneurysm arising from a persistent hypoglossal artery is lacking due to the low incidence. Here we report both the oldest patient reported to be treated with a persistent hypoglossal artery-associated aneurysm and also explicitly report endovascular treatment of a persistent hypoglossal artery aneurysm arising at the posterior inferior cerebellar artery origin. Qualitative systematic review of the available medical literature demonstrates limited evidence regarding treatment of persistent hypoglossal artery-associated aneurysms with the majority being carried out via open surgery. Ruptured posterior inferior cerebellar artery aneurysm arising from a persistent hypoglossal artery can be successfully and safely treated by endovascular therapy via the persistent hypoglossal artery. Randomised study of this situation is unlikely to be feasible; however, qualitative review of the literature reveals six such aneurysms that have been treated surgically, and this case appears to be the first via an endovascular means.

Challenges in the Management of a Ruptured Bihemispheric Posterior Inferior Cerebellar Artery Aneurysm

2019 ◽  
Vol 122 ◽  
pp. 317-321 ◽  
Author(s):  
Chin Lik Tan ◽  
Gopinathan Anil ◽  
Tseng Tsai Yeo ◽  
Ning Chou
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Cerebellar Artery

Rupture of previously documented small asymptomatic saccular intracranial aneurysms

1992 ◽  
Vol 76 (6) ◽  
pp. 1019-1024 ◽  
Author(s):  
Wouter I. Schievink ◽  
David G. Piepgras ◽  
Fremont P. Wirth
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Careful Consideration ◽  
Middle Cerebral Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
Cerebellar Artery ◽  
Cerebral Artery Aneurysm

✓ In a recent study from the Mayo Clinic on the natural history of intact saccular intracranial aneurysms, none of the aneurysms smaller than 10 mm in diameter ruptured. It was concluded that these aneurysms carry a negligible risk for future hemorrhage and that surgery for their repair could not be recommended. These findings and recommendations have been the subject of much controversy. The authors report three patients with previously documented asymptomatic intact saccular intracranial aneurysms smaller than 5 mm in diameter that subsequently ruptured. In Case 1, a 70-year-old man bled from a 4-mm middle cerebral artery aneurysm that had been discovered incidentally 2½ years previously during evaluation of cerebral ischemic symptoms. A 10-mm internal carotid artery aneurysm and a contralateral 4-mm middle cerebral artery aneurysm had not ruptured. Case 2 was that of a 66-year-old woman who bled from a 4-mm pericallosal aneurysm that had been present 9½ years previously when she suffered subarachnoid hemorrhage (SAH) from a 7 × 9-mm posterior inferior cerebellar artery aneurysm. Although the pericallosal aneurysm had not enlarged in the intervening years, a daughter aneurysm had developed. The third patient was a 45-year-old woman who bled from a 4- to 5-mm posterior inferior cerebellar artery aneurysm that had measured approximately 2 mm on an angiogram obtained 4 years previously; at that time she had suffered SAH due to rupture of a 5 × 12-mm posterior communicating artery aneurysm. These cases show that small asymptomatic intact saccular intracranial aneurysms are not innocuous and that careful consideration must be given to their surgical repair and long-term follow-up study.

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