Posterior cerebral aneurysms are rare vascular lesions and usually present as non-saccular or dissecting in nature. We present a retrospective review of our experience in the deliberate parent artery occlusion of posterior cerebral artery (PEA) aneurysms. From June 2006 to June 2010, 12 patients (seven men, five women) with posterior cerebral artery non-saccular aneurysms presented to our department and were treated by parent artery occlusion. There were eight (66.7%) aneurysms located at the P2 segment, two (16.7%) at the P2-3 junction, one (8.3%) at the P1-2 junction and one (8.3%) at the P3 segment. Ten of the 12 patients were treated by aneurysm together with parent artery occlusion and two were treated by proximal occlusion. The procedure was technically successful in all cases. Angiography was performed immediately after the procedure in all patients and showed occlusion of the parent vessel with no filling of the aneurysm. Only one patient (8.3%) developed procedure-related transient hemianopsia and recovered within one month. The other 11 patients showed no additional neurological symptoms after procedure. Deliberate parent artery occlusion by detachable coils appears to be well tolerated for P2 or distal segment of PCA in our limited case series. We propose that this technique could be a good treatment option in treating non-saccular aneurysms in this location.
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外文
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PubmedID:
中科院(CAS)分区:
出版当年[2010]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[2009]版:
Q4CLINICAL NEUROLOGYQ4RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3CLINICAL NEUROLOGYQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGY
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, Beijing, Peoples R China;[2]Care of Wu ZX, Capital Med Univ, Beijing Tiantan Hosp, Beijing Neurosurg Inst, 6 Tiantanxili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Liu L.,He H.,Jiang C.,et al.Deliberate Parent Artery Occlusion for Non-Saccular Posterior Cerebral Artery Aneurysms[J].INTERVENTIONAL NEURORADIOLOGY.2011,17(2):159-168.doi:10.1177/159101991101700204.