Open AccessDissecting aneurysm of vertebral artery involving the origin of posteroinferior cerebellar artery treated with retrograde stent placement and coil embolization in the era of flow diverter
Author(s) -
Anshu Mahajan,
Gaurav Goel,
Biplab Das,
Kushal Narang
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_59_18
Subject(s) - posterior inferior cerebellar artery , medicine , pica (typography) , aneurysm , vertebral artery , stent , embolization , occlusion , surgery , flow diverter , endovascular treatment , radiology , world wide web , computer science
Ruptured vertebral artery (VA) dissecting aneurysm carries high risk of rerupture and mortality if not treated immediately. Dissecting aneurysm of the VA involving the posteroinferior cerebellar artery (PICA) origin is difficult to treat by surgical and endovascular route. With the availability of flow diversion device for reconstructive procedure, endovascular treatment has now become easy to treat difficult aneurysm while maintaining the patency of the PICA. However, instead of using flow diverter (FD) in our case, we successfully treated dissecting VA aneurysm involving the PICA origin with retrograde stent placement from distal right VA to the left PICA to maintain the patency of PICA and occlusion of dissecting aneurysm of VA with detachable coils instead of performing surgical bypass and FD placement.