Endovascular treatment of P3 segment of posterior cerebral artery aneurysm with stent and coils

Posterior cerebral artery (PCA) aneurysms are rare and usually arise from proximal portion of the artery. The distal location is even less frequent, and aneurysms in this location tend to be larger and dissecting. Although they can be treated by direct surgery, recently endovascular procedures have...

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Bibliographic Details
Published in:Neuro-chirurgie 2022-07, Vol.68 (4), p.437-442
Main Authors: Demartini, Z., Gatto, L.A.M., Francisco, A.N., Koppe, G.L.
Format: Article
Language:English
Subjects:
Cerebral Angiography
Embolization, Therapeutic - methods
Endovascular Procedures
Female
Headache
Humans
Intracranial aneurysm
Intracranial Aneurysm - surgery
Middle Aged
Posterior cerebral artery
Posterior Cerebral Artery - surgery
Stents
Therapeutic embolization
Treatment Outcome
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Summary:Posterior cerebral artery (PCA) aneurysms are rare and usually arise from proximal portion of the artery. The distal location is even less frequent, and aneurysms in this location tend to be larger and dissecting. Although they can be treated by direct surgery, recently endovascular procedures have been preferred in some centers. We report a case of large aneurysm of the posterior cerebral artery in a 45-year-old female presenting with headache. An uneventful endovascular treatment was performed with stent and platinum coils achieving total occlusion of the aneurysm, and the patient had good recovery. The findings are compared to earlier reports and literature regarding the issue is discussed.
ISSN:0028-3770
1773-0619
DOI:10.1016/j.neuchi.2021.08.006