Abstract
The effectiveness and reliability of flow-diverter stents, which are commonly used in aneurysms of the anterior circulation, have been demonstrated previously. However, the use of these devices is associated with higher rates of perforator and branch ischemia following the treatment of aneurysms of the posterior circulation. This work involved a single-center; retrospective study reviewing eight patients who had aneurysms related to the posterior inferior cerebellar artery (PICA) and who were treated with flow-diverter stents from September 2013 to May 2017. The mean aneurysm diameter was 7.6 mm (range, 5 to 11 mm). The types of aneurysm included five aneurysms that were saccular, two that were fusiform, and one that was dissecting. All saccular aneurysms in the neck involved the PICA origin, and one dissecting aneurysm was localized in the proximal part of the PICA. Procedural success was 100% (8/8), and there were no ischemic complications. One patient with subarachnoid hemorrhage died because of rebleeding (modified Rankin Scale (mRS), 6). Other than this patient all of the patients' mRS scores were zero at discharge and at the clinical follow-up period (mean, 2.5 years). All of the aneurysms were completely occluded accordi...Continue Reading
References
May 1, 1995·Journal of Neurosurgery·W I SchievinkJ P Whisnant
Jan 20, 2009·Stroke; a Journal of Cerebral Circulation·Chander SadasivanBaruch B Lieber
Jul 21, 2010·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·C J O'kellyT R Marotta
Mar 13, 2012·Journal of Neurosurgery·Adnan H SiddiquiElad I Levy
Oct 31, 2014·AJNR. American Journal of Neuroradiology·D F KallmesP Lylyk
Nov 19, 2015·Neurosurgery·Ning LinAdnan H Siddiqui
Jan 24, 2016·Neuroradiology·Cheng-Bin WangJun Ma
Jun 11, 2016·Journal of Neurosurgery·Leonardo Rangel-CastillaElad I Levy
Oct 16, 2016·Journal of Neurosurgery·Tibor BecskePeter K Nelson
Dec 23, 2016·AJNR. American Journal of Neuroradiology·C A TaschnerA K Wakhloo
Jun 2, 2017·Neurosurgical Focus·Robert W RyanArmen Choulakian
Oct 2, 2017·Journal of Neurointerventional Surgery·Satoshi KiyofujiWaleed Brinjikji
Oct 22, 2017·Journal of Neurointerventional Surgery·Visish M SrinivasanPeter Kan
Dec 27, 2017·World Neurosurgery·Volker MausChristoph Kabbasch
Apr 3, 2018·Neurosurgery·Matthew T BenderAlexander L Coon
May 29, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Pervinder BhogalPedro Lylyk
Citations
Oct 10, 2020·Brain Circulation·Guangwen LiYong Zhang
Jun 10, 2021·Journal of Cerebrovascular and Endovascular Neurosurgery·Hee Kwon ShinYung Ki Park
Sep 15, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Xiang LiuChangren Huang