Fusiform 'True' Posterior Communicating Artery Aneurysm with Basilar Artery Occlusion: A Case Report

Autor: Ritu Shah, Rashmi Saraf
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Neurointervention, Vol 19, Iss 1, Pp 57-60 (2024)
Druh dokumentu: article
ISSN: 2093-9043
2233-6273
DOI: 10.5469/neuroint.2023.00472
Popis: Isolated posterior communicating artery (PCoA) aneurysms are rare, predominantly fusiform in morphology, and rarely present with subarachnoid hemorrhage. Endovascular management of this pathology is technically challenging due to extreme tortuosity, the artery course in the subarachnoid space, sharp angulations at PCoA junctions with the parent artery, and, at times, associations with either internal carotid artery or basilar artery occlusions. We present a case of a ruptured fusiform PCoA at the junction of middle and distal third with concomitant proximal basilar artery occlusion. The PCoA reforms the posterior circulation, making it a vital artery. Stent-assisted coiling was performed with extreme difficulty in achieving distal positioning of the stents in the basilar artery/posterior cerebral artery/distal PCoA due to artery tortuosity. There was technical difficulty in the stent deployment. After changing strategies to a larger diameter laser-cut stent, endovascular treatment could be performed. There were good angiographic and clinical outcomes with stable occlusion at 6-month-follow-up.
Databáze: Directory of Open Access Journals
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