PulseRider-assisted coil embolization for an unruptured internal carotid artery-persistent primitive trigeminal artery aneurysm

被引:1
|
作者
Akiyama, Tomoaki [1 ,2 ]
Imamura, Hirotoshi [1 ]
Shigeyasu, Masashi [1 ]
Goto, Masanori [1 ]
Fukumitsu, Ryu [1 ]
Sunohara, Tadashi [1 ]
Matsumoto, Shirabe [1 ]
Fukui, Nobuyuki [1 ]
Omura, Yoshihiro [1 ]
Fukuda, Tatsumaru [1 ]
Go, Koichi [1 ]
Kajiura, Shinji [1 ]
Asakura, Kento [1 ]
Horii, Ryo [1 ]
Naramoto, Yuji [1 ]
Nishii, Rikuo [1 ]
Yamamoto, Yasuhiro [1 ]
Sakai, Chiaki [1 ]
Sakai, Nobuyuki [1 ]
机构
[1] Kobe City Med Ctr Gen Hosp, Dept Neurosurg, Kobe, Japan
[2] Kyushu Univ, Dept Neurosurg, Grad Sch Med Sci, Fukuoka, Japan
来源
关键词
Cerebral aneurysm; Coil embolization; Persistent primitive trigeminal artery; PulseRider; OCCLUSION;
D O I
10.1016/j.jstrokecerebrovasdis.2022.106876
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
A persistent primitive trigeminal artery (PPTA) is a vessel remnant of carotid-vertebrobasilar anastomosis. The aneurysm at the bifurcation of the internal carotid artery (ICA) and PPTA tends to have a broad neck with the branch incorporated into the sac. Because PPTA supplies to the posterior circulation and branches off direct pontine perforators, PPTA preservation should always be considered when treating PPTA aneurysms to avoid ischemic complications.We report a case of the wide-neck ICA-PPTA aneurysm successfully treated with the PulseRider-assisted coil embolization, resulting in complete occlusion with PPTA patency. Relevant anatomy and endovascular strategy of the PPTA aneurysms are discussed. (c) 2022 Elsevier Inc. All rights reserved.
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页数:6
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