机构：[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, Capital Medical University, Beijing, China.重点科室医技科室研究所放射科放射科北京市神经外科研究所首都医科大学附属天坛医院
The true posterior communicating artery (TPCoA) aneurysms are rare and endovascular treatment for such lesions is limited in literature.
From January 2012 to March 2017, eight TPCoA aneurysms were treated endovascularly and included in our present study. The procedural complication and outcomes were assessed.
Seven of eight aneurysms (87.5%) were ruptured. Stent-assisted coiling was used in one case that a stent was deployed via PCoA-ipsilateral P2 segment. The dual-microcatheter technique was used in one case. The remaining six cases were treated by coiling alone. One patient (12.5%) suffered perioperative complication, of which a coil herniated into parent vessel during the procedure without symptomatic stroke or other adverse event after the procedure. The initial embolization results showed complete occlusion in five cases and residual neck in three. Six patients (75%) had a mean of 15-month angiographic follow-up and two of them revealed recurrence (33.3%). Clinical follow-up was available in seven patients (87.5%) and all patients showed favorable clinical outcome with mRS score 0.
TPCoA aneurysms are rare and challenging lesions with high rupture rate in literatures. Endovascular treatment may be a feasible alternative for TPCoA aneurysms. Primary coiling, as well as adjunctive strategies, such as stent-assisted coiling or dual catheter techniques may be considered. Further study in a larger population is necessary.
基金：
supported by National Key Research
and Development Plan of China (grant number:
2016YFC1300800), the National Natural Science Foundation
of China (grant numbers: 81801156, 81801158, 81471167 and
81671139), the Special Research Project for Capital Health
Development (grant number: 2018-4-1077) and Beijing
Hospitals Authority Youth Programme, code: QML20190503.
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类|4 区医学
小类|4 区临床神经病学4 区核医学
最新[2023]版：
大类|4 区医学
小类|4 区临床神经病学4 区核医学
JCR分区：
出版当年[2017]版：
Q4RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGY
最新[2023]版：
Q3CLINICAL NEUROLOGYQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGY
第一作者机构：[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, Capital Medical University, Beijing, China.[*1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, Capital Medical University, NansanhuanXilu 119, Fengtai District, Beijing 100070, China.
共同第一作者：
通讯作者：
通讯机构：[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, Capital Medical University, Beijing, China.[*1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, Capital Medical University, NansanhuanXilu 119, Fengtai District, Beijing 100070, China.
推荐引用方式(GB/T 7714)：
Liu Jian,Zhang Ying,Li Wenqiang,et al.Treatment of true posterior communicating artery aneurysms: Endovascular experience in a single center.[J].INTERVENTIONAL NEURORADIOLOGY.2019,1591019919874603.doi:10.1177/1591019919874603.
APA：
Liu Jian,Zhang Ying,Li Wenqiang,Wang Kun,Zhang Yisen&Yang Xinjian.(2019).Treatment of true posterior communicating artery aneurysms: Endovascular experience in a single center..INTERVENTIONAL NEURORADIOLOGY,,
MLA：
Liu Jian,et al."Treatment of true posterior communicating artery aneurysms: Endovascular experience in a single center.".INTERVENTIONAL NEURORADIOLOGY .(2019):1591019919874603
