Posterior Cerebral Artery Aneurysm: Unruptured, Large, Dissecting, and Partially Thrombosed Aneurysm of the Posterior Cerebral Artery, Treated with a p64 Flow Diverter, with Reconstruction of the Parent Artery

Mikeladze, Ketevan; Bucharin, Evgeni

doi:10.1007/978-3-319-70267-4_97-1

Ketevan Mikeladze⁴ &
Evgeni Bucharin⁴

32 Accesses

Abstract

A 22-year-old female patient presented with severe headaches. MRI/MRA and DSA demonstrated a large, partially thrombosed aneurysm of the P2 segment of the right posterior cerebral artery (PCA). This aneurysm was treated with a p64 flow diverter. At 6-month follow-up, there was complete occlusion of the aneurysm with a significant reduction in size and the PCA remained patent. The endovascular treatment of PCA aneurysms with flow diversion is the main topic of this chapter.

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References

Ciceri EF, Klucznik RP, Grossman RG, Rose JE, Mawad ME. Aneurysms of the posterior cerebral artery: classification and endovascular treatment. AJNR Am J Neuroradiol. 2001;22(1):27–34.
CAS PubMed Google Scholar
Drake CG. Giant intracranial aneurysms: experience with surgical treatment in 174 patients. Clin Neurosurg. 1979;26:12–95. https://doi.org/10.1093/neurosurgery/26.CN_suppl_1.12.
Article CAS PubMed Google Scholar
Drake CG. Giant posterior cerebral aneurysms: 66 patients. In: Drake CG, Peerless SJ, Hernesniemi JA, editors. Surgery of vertebrobasilar aneurysms: London, Ontario, experience on 1767 patients. New York: Springer; 1996. p. 230–48. https://doi.org/10.1007/978-3-7091-9409-6.
Chapter Google Scholar
Gerber CJ, Neil-Dwyer G. A review of the management of 15 cases of aneurysms of the posterior cerebral artery. Br J Neurosurg. 1992;6(6):521–7. https://doi.org/10.3109/02688699209002368.
Article CAS PubMed Google Scholar
Hallacq P, Piotin M, Moret J. Endovascular occlusion of the posterior cerebral artery for the treatment of p2 segment aneurysms: retrospective review of a 10-year series. AJNR Am J Neuroradiol. 2002;23(7):1128–36.
PubMed Google Scholar
Hoya K, Nagaishi M, Yoshimoto Y, Morikawa E, Takahashi H. Parent artery occlusion for posterior cerebral artery aneurysms. Interv Neuroradiol. 2006;12(Suppl 1):125–8. https://doi.org/10.1177/15910199060120S120.
Article CAS PubMed PubMed Central Google Scholar
Isozaki M, Arai H, Neishi H, Kitai R, Kikuta KI. Super-selective balloon test occlusion of the posterior communicating artery in the treatment of a posterior cerebral artery fusiform aneurysm: a case report. NMC Case Rep J. 2016;3(4):129–31. https://doi.org/10.2176/nmccrj.cr.2016-0096.
Article PubMed PubMed Central Google Scholar
Jayakumar PN, Desai S, Srikanth SG, Ravishankar S, Kovoor JM. Relevance of occlusion test in endovascular coiling of posterior cerebral artery (p2 segment) aneurysms. Interv Neuroradiol. 2004;10(3):235–48. https://doi.org/10.1177/159101990401000306.
Article CAS PubMed Google Scholar
Mazaris P, Mehta T, Hussain M, Inoa V, Singer J, Spiegel G, Kureshi I, Ollenschleger M. Endovascular treatment of complex distal posterior cerebral artery aneurysms with the Pipeline Embolization Device. World Neurosurg. 2017;107:1043.e1–5. https://doi.org/10.1016/j.wneu.2017.04.037.
Article Google Scholar
Sakata S, Fujii K, Matsushima T, Fujiwara S, Fukui M, Matsubara T, Nagatomi H, Kuromatsu C, Kamikaseda K. Aneurysm of the posterior cerebral artery: report of eleven cases—surgical approaches and procedures. Neurosurgery. 1993;32(2):163–7; discussion 167–8.
Article CAS Google Scholar
Suzuki O, Miyachi S, Negoro M, Okamoto T, Sahara Y, Hattori K, Kobayashi N, Kojima T, Yoshida J. Treatment strategy for aneurysms of the posterior cerebral artery. Interv Neuroradiol. 2003;9(Suppl 1):83–8. https://doi.org/10.1177/15910199030090S110.
Article CAS PubMed Google Scholar
van Rooij WJ, Sluzewski M, Beute GN. Endovascular treatment of posterior cerebral artery aneurysms. AJNR Am J Neuroradiol. 2006 Feb;27(2):300–5.
PubMed Google Scholar
Zhou J, Wang Y, Wang D, Chen Q, Wang H, Gao L. Endovascular treatment for ruptured aneurysms at distal cerebral arteries. World Neurosurg. 2018; https://doi.org/10.1016/j.wneu.2018.11.178.
Article Google Scholar

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Department of Vascular Surgery, Burdenko Neurosurgery Institute, Moscow, Russia
Ketevan Mikeladze & Evgeni Bucharin

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Ketevan Mikeladze
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Evgeni Bucharin
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Correspondence to Ketevan Mikeladze .

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Editors and Affiliations

Department of Neuroradiology, Klinikum Stuttgart, Stuttgart, Baden-Württemberg, Germany
Hans Henkes
Dept. Neurosurgery & Intervent. Neurorad, Clinica Sagrada Familia , Buenos Aires, Argentina
Pedro Lylyk
Department of Neurosurgery, Klinikum Stuttgart Department of Neurosurgery, Stuttgart, Baden-Württemberg, Germany
Oliver Ganslandt

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Mikeladze, K., Bucharin, E. (2019). Posterior Cerebral Artery Aneurysm: Unruptured, Large, Dissecting, and Partially Thrombosed Aneurysm of the Posterior Cerebral Artery, Treated with a p64 Flow Diverter, with Reconstruction of the Parent Artery. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_97-1

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DOI: https://doi.org/10.1007/978-3-319-70267-4_97-1
Received: 07 January 2019
Accepted: 07 January 2019
Published: 25 February 2019
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-70267-4
Online ISBN: 978-3-319-70267-4
eBook Packages: Springer Reference MedicineReference Module Medicine

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