Flow Diversion for Treatment of Anterior Inferior Cerebellar Artery Aneurysms: Mechanism and Pitfalls from a Novel Management Strategy

被引：0

作者：

Sreenivasan, Sanjeev ^{[1
]}

Roychowdhury, Sudipta ^{[2
]}

Kashibathla, Ananth ^{[1
]}

Kumarapuram, Siddhant ^{[1
]}

Nourollah-Zadeh, Emad ^{[3
]}

Sundararajan, Srihari ^{[2
]}

Sun, Hai ^{[1
]}

Nanda, Anil ^{[1
]}

Gupta, Gaurav ^{[1
]}

机构：

[1] Rutgers State Univ, Robert Wood Johnson Med Sch, Dept Neurosurg, New Brunswick, NJ 08901 USA

[2] Univ Radiol, Robert Wood Johnson Med Sch, Dept Intervent Radiol, New Brunswick, NJ USA

[3] Rutgers State Univ, Robert Wood Johnson Med Sch, Dept Neurol, New Brunswick, NJ USA

来源：

WORLD NEUROSURGERY | 2024年 / 182卷

关键词：

-Anterior inferior cerebellar artery; -Endovascular; -Flow diversion; -Strategy; -Surgery; ENDOVASCULAR TREATMENT; EMBOLIZATION DEVICE; PARENT ARTERY; PRESERVATION; VESSELS; ANATOMY; NERVE;

D O I：

10.1016/J.WnEU.2023.11.064

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

- BACKGROUND: Anterior inferior cerebellar artery (AICA) aneurysms present a challenge for neurosurgeons and neurointerventionalists alike. - METHODS: Cases of AICA aneurysms managed with endovascular flow diversion at our institute are reviewed with their angiographic outcomes. - RESULTS: Both direct and indirect flow diversion provide complete aneurysm occlusion at follow-up. We propose a stratified method of approaching AICA aneurysms based on location, rupture status, and neck size. - CONCLUSIONS: Careful evaluation of preoperative parameters is paramount in deciding between a surgical or a neuroendovascular approach. Low-profile stents in the future may assist in direct flow diversion of AICA trunk aneurysms. In addition, neurosurgeons need to be well versed in endovascular approaches.

引用

页码：E163 / E170

页数：8

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