Document Detail

Endovascular treatment of atypical posterior circulation aneurysms: technical results and review of the literature.
MedLine Citation:
PMID:  19758291     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: We report our technical success and complication rates in treating posterior circulation aneurysms at sites other than the basilar apex, superior cerebellar artery origin, or the posterior inferior cerebellar artery origin via endovascular embolization or sacrifice.
MATERIALS AND METHODS: We retrospectively reviewed case records for patients undergoing coil embolization of atypical posterior circulation aneurysms from January 2003 to December 2007.
RESULTS: Thirty-two aneurysms in 32 patients were treated. Twenty-one patients (65%) presented with a subarachnoid hemorrhage. Twenty-two aneurysms were treated with coiling alone, 9 with stent-assisted coiling, and 1 with a combination of Onyx plus stent-assisted coiling. Twelve aneurysms were treated with vessel sacrifice. Immediately post procedure, 27/32 aneurysms (84%) were considered successfully treated, resulting in either vessel sacrifice, complete obliteration, or minimal neck remnant. Sixteen of 19 patients (84%) were considered successfully treated at a mean angiographic follow up of 8 months. The procedural morbidity and mortality was 15% and 6% respectively.
CONCLUSION: Endovascular embolization remains a viable and durable method of treatment for atypical posterior circulation aneurysms.
Brian T Jankowitz; Aitziber Aleu; Ridwan Lin; Dean Kostov; Ajith J Thomas; Rishi Gupta; Nirav Vora; Kim Seong R; Narendra Panapitiya; Tudor Jovin; Michael Horowitz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  21     ISSN:  1552-6569     ISO Abbreviation:  J Neuroimaging     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2009 by the American Society of Neuroimaging.
From the Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh PA (AA, RL, TJ); Department of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, MA (AJT); Neuroscience Institute, Cleveland Clinic, Cleveland, OH (RG); Department of Neurology, Saint Louis University, Saint Louis, MS (NV); Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA (BTJ, DK, KSR, NP, MH).
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