Retrograde back-coiling technique for a ruptured aneurysm of a double-origin posterior inferior cerebellar artery.
The double origin of the posterior inferior cerebellar artery (PICA) is a variant anastomosis of a residual lateral spinal artery and native intracranial PICA that has been associated with intracranial aneurysm formation. Because of this anastomosis, both origins of the PICA serve as aneurysmal-feeding vessels. We describe a novel technique of coiling with intracranial stent assistance to treat such a lesion that has not been described previously to our review.
Vora
Nirav
N
Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Thomas
Ajith J
AJ
Horowitz
Michael B
MB
Jovin
Tudor
T
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D002531:Cerebellum / Q000098:blood supply* / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed