Endovascular management of dolichoectasia of the posterior cerebral artery report.
Congenital or nonatherosclerotic dolichoectasia is a rare condition; its etiology, natural history, and indications and technique of treatment are not yet clarified. During a workup for recent headaches and left-sided paresthesia in a 48 year-old female patient, brain MR imaging and cerebral angiography showed a large dolichoectasia of the P2 segment of the right posterior cerebral artery (PCA). The patient passed endovascular testing for occlusion of P2 with both balloon test occlusion and selective amytal testing. Endovascular coil occlusion of the right PCA dolichoectasia was successfully performed with hydrogel coils.
Chao
Kuo H
KH
Department of Radiology, Columbia New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York, USA.
Riina
Howard A
HA
Heier
Linda
L
Steig
Philip E
PE
Gobin
Y Pierre
YP
D000654:Amobarbital; D021721:Balloon Occlusion; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D020769:Posterior Cerebral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D016896:Treatment Outcome; D014664:Vasodilation
D000654:Amobarbital