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논문 기본 정보

자료유형
학술저널
저자정보
Shah Ritu (Department of Radiology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, Mumbai, India) Saraf Rashmi (Department of Radiology, King Edward Memorial Hospital, Seth Gordhandas Sunderdas Medical College, Mumbai, India)
저널정보
대한신경중재치료의학회 Neurointervention Neurointervention Vol.19 No.1
발행연도
2024.3
수록면
57 - 60 (4page)
DOI
https://doi.org/10.5469/neuroint.2023.00472

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Isolated posterior communicating artery (PCoA) aneurysms are rare, predominantly fusiform in morphology, and rarely present with subarachnoid hemorrhage. Endovascular management of this pathology is technically challenging due to extreme tortuosity, the artery course in the subarachnoid space, sharp angulations at PCoA junctions with the parent artery, and, at times, associations with either internal carotid artery or basilar artery occlusions. We present a case of a ruptured fusiform PCoA at the junction of middle and distal third with concomitant proximal basilar artery occlusion. The PCoA reforms the posterior circulation, making it a vital artery. Stent-assisted coiling was performed with extreme difficulty in achieving distal positioning of the stents in the basilar artery/posterior cerebral artery/distal PCoA due to artery tortuosity. There was technical difficulty in the stent deployment. After changing strategies to a larger diameter laser-cut stent, endovascular treatment could be performed. There were good angiographic and clinical outcomes with stable occlusion at 6-month-follow-up.

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