Endoluminal Reconstruction for Nonsaccular Aneurysms of the Proximal Posterior Cerebral Artery with the Pipeline Embolization Device.

AJNR. American Journal of Neuroradiology
D W ZumofenP K Nelson

Abstract

Treatment options for nonsaccular posterior cerebral artery aneurysms include a range of surgical and endovascular reconstructive and deconstructive methods. However, no truly satisfactory treatment option is available to date for lesions arising from the P1 and P2 segments. The purpose of the present case series is to investigate both the efficacy and safety of the Pipeline Embolization Device in treating these challenging aneurysms. We present a series of 6 consecutive patients who underwent endoluminal reconstruction with the Pipeline Embolization Device for nonsaccular P1 or P2 segment aneurysms between January 2009 and June 2013. Aneurysm location included the P1 segment in 2 patients and the P2 segment in 4 patients. Mean aneurysm diameter was 23 mm (range, 5-44 mm). Mean length of the arterial segment involved was 10 mm (range, 6-19 mm). Clinical presentation included mass effect in 4 patients and perforator stroke and subacute aneurysmal subarachnoid hemorrhage in 1 patient each. Endovascular reconstruction was performed by using 1 Pipeline Embolization Device in 5 patients and 2 overlapping Pipeline Embolization Devices in the remaining patient. Angiographic aneurysm occlusion was immediate in 1 patient, within 6 month...Continue Reading

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Citations

Jun 29, 2015·World Neurosurgery·Paul A GardnerCarl H Snyderman
Sep 21, 2016·World Neurosurgery·Nakao OtaRokuya Tanikawa
Jun 2, 2017·Neurosurgical Focus·Purvee D PatelPascal Jabbour
Mar 21, 2019·Neurosurgery·Elias AtallahPascal Jabbour
May 6, 2020·Animals : an Open Access Journal From MDPI·Carlos Iglesias PastranaJuan Vicente Delgado Bermejo
Sep 15, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Xiang LiuChangren Huang

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