Coil Embolization of Two Flow-Related Aneurysms in P1 Segment of the Posterior Cerebral Artery in a Patient with Occlusion of the Ipsilateral Internal Carotid Artery
Available accessResearch articleFirst published online April, 2008
Coil Embolization of Two Flow-Related Aneurysms in P1 Segment of the Posterior Cerebral Artery in a Patient with Occlusion of the Ipsilateral Internal Carotid Artery
Aneurysms of the posterior cerebral artery (PCA) are uncommon (about 1% of all intracranial aneurysms) and their neurosurgical treatment is associated with high operative risk. We report on two saccular aneurysms of the P1 segment of the right PCA, combined with occlusion of the C1 segment of the internal carotid artery (ICA) detected during routine diagnostic studies in a 58-year-old patient with slight sensory loss in the left extremities. The aneurysms were embolized during two consecutive sessions, without subsequent complications. Endovascular intervention is an efficient method in the treatment of multiple aneurysms in the P1 segment of the PCA.
RooijW.J.SluzewskiMBeuteG: Endovascular Treatment of Posterior Cerebral Artery Aneurysms. American Journal of Neuroradiology27: 300–305, 2006.
2.
CiceriEFKlucznikRPGrossmanR: Aneurysms of the posterior cerebral artery: Classification and endovascular treatment. Am J Neuroradiol22: 27–34, 2001.
3.
LempertTEMalekAMHalbachVV: Endovascular treatment of ruptured posterior circulation cerebral aneurysms: Clinical and angiographic outcomes. Stroke31: 100–110, 2000.
4.
MassoudFGuglielmiGViñuela: Treatment of Multiple Aneurysms Involving the Posterior Intracranial Circulation. Presented at the 32nd Annual Meeting of the American Society of Neuroradiology, Nashville1994.
5.
DrakeCPeerlessSHernesniemiJ: Surgery of vertebrobasilar aneurysms: London, Ontario experience in 1767 patients. Springer-Verlag1996: 221–48.
6.
WrightRLSweetWH: Carotid or vertebral occlusion in the treatment of intracranial aneurysms: Value of early and late readings of carotid and retinal pressures. Clin Neurosurg9: 163–192, 1962.
7.
IdeMJimboMYamamotoM: Posterior Cerebral Artery Aneurysm Associated with Unilateral Internal Carotid Artery Agenesis. Neurol Med Chir35: 825–829, 1995.
8.
HashimotoYUrasakiETsujigamiS: A case of distal posterior cerebral artery aneurysm associated with occlusion of the internal carotid artery, No Shinkei Geka28: 725–9, 2000.
9.
KasperaWMajchrzakHŁadzińskiP: Cerebral aneurysms in patients with the occlusion of the brachiocephalic vessels. Neurologia i Neurochirurgia Polska40: 227–237, 2006.
10.
LasjauniasPPiskeRTerbruggeK: Cerebral arteriovenous malformations (C.AVM) and associated arterial aneurysms (AA). Analysis of 101 C.AVM cases, with 37 AA in 23 patients. Acta Neurochir91: 29–36, 1988.
11.
WankeIDoerflerASchochB: Treatment of wide-necked intracranial aneurysms with a self-expanding stent system: Initial clinical experience. Am J Neuroradiol24: 1192–9, 2003.
