| Successful endosaccular coiling after a balloon occlusion test of the caudal channel of a double origin of the posterior inferior cerebellar artery originating from the aneurysm neck. | |
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MedLine Citation:
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PMID: 21696656 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Therapeutic strategies for unruptured aneurysms in elective procedures must be carefully planned with respect to safety. We describe the case of a patient who presented with an unruptured aneurysm associated with a double origin of the posterior inferior cerebellar artery (DOPICA), a rare variant of aberrant origin. A three-dimensional rotational angiogram clearly showed that the aneurysm incorporated the origin of the DOPICA caudal channel, which was more dominant than the cranial one. The aneurysm was completely obliterated using detachable coils after a balloon occlusion test (BOT) of the caudal channel was conducted to confirm the tolerance of the patient following sudden interruption of the more prominent flow coming from the caudal channel of the DOPICA. This report affirms the need to suspect anomalies associated with a DOPICA that predispose to intracranial aneurysms and highlights the potential role of a BOT in pretreatment hemodynamic evaluations of unusual aneurysms accompanying a particular developmental anomaly. |
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Authors:
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S H Lee; J S Koh; C W Ryu; C Y Lee; S J Lee |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-06-20 |
Journal Detail:
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Title: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Volume: 17 ISSN: 1591-0199 ISO Abbreviation: Interv Neuroradiol Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-06-23 Completed Date: 2011-09-14 Revised Date: 2013-05-24 |
Medline Journal Info:
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Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
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Languages: eng Pagination: 183-7 Citation Subset: IM |
Affiliation:
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Stroke and Neurological Disorders Centre, Kyung Hee University Hospital at Gangdong, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Balloon Occlusion / methods* Cerebellum / blood supply* Cerebral Angiography Embolization, Therapeutic / methods* Female Humans Imaging, Three-Dimensional Intracranial Aneurysm / radiography*, therapy* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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