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

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<p><b>Objective:</b> We report a case wherein coil embolization with an intention to preserve the hemispheric branches was performed to treat a ruptured saccular aneurysm in the distal posterior inferior cerebellar artery (PICA) during the acute period. The considerations that led to the selection of the endovascular treatment are discussed.</p><p><b>Case Presentation:</b> The patient was an 87-year-old woman who presented with subarachnoid hemorrhage. After considering the patient's age and the severity of her condition, intra-aneurysmal coil embolization was performed to treat a saccular aneurysm in the left telovelotonsillar segment. The parent artery was preserved, and no postoperative complications were noted.</p><p><b>Conclusion:</b> Either parent artery embolization or intra-aneurysmal embolization should be selected as the endoscopic treatment methodology for de novo saccular aneurysms located in the PICA, except for those in the vertebral artery bifurcation area. The treatment selection should be based on careful evaluation of the aneurysm size, parent artery diameter, and aneurysm site.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 12(3), 142-147, 2018

    特定非営利活動法人 日本脳神経血管内治療学会

各種コード

  • NII論文ID(NAID)
    130006516225
  • NII書誌ID(NCID)
    AA1229439X
  • 本文言語コード
    ENG
  • ISSN
    1882-4072
  • NDL 記事登録ID
    028893563
  • NDL 請求記号
    Z78-A939
  • データ提供元
    NDL  J-STAGE 
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