title: Double-balloon remodeling for coil embolization of a primitive trigeminal artery variant aneurysm. A case report.
abstract: Here we describe the case of a patient with a wide-necked unruptured aneurysm arising at origin of a persistent primitive trigeminal artery (PTA) variant from the right internal carotid artery (ICA), supplying the territory of the right superior cerebellar artery and the anterior inferior cerebellar artery. To preserve the ICA and the PTA variant, coil embolization of the aneurysm was performed using a double-balloon remodeling technique (HyperForm™ and HyperGlide™ Occlusion Balloon Systems; ev3 Endovascular Inc., Irvine, CA, USA). The association of a PTA variant with an aneurysm is very rare. To our knowledge, this is the first description of the use of coil embolization using double-balloon remodeling to treat a PTA variant aneurysm. This technique permits complete embolization and reduces the risk of cerebral and cerebellar ischemia.
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan - tomojy33@yahoo.co.jp.
authors: Tomoji
authors: T
authors: Takigawa
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Kensuke
authors: K
authors: Suzuki
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Yoshiki
authors: Y
authors: Sugiura
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Ryotaro
authors: R
authors: Suzuki
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Issei
authors: I
authors: Takano
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Nobuyuki
authors: N
authors: Shimizu
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Yoshihiro
authors: Y
authors: Tanaka
authors: Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital; Koshigaya, Saitama, Japan.
authors: Akio
authors: A
authors: Hyodo
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods; D002536:Cerebral Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D016896:Treatment Outcome
keywords: cerebral aneurysm; coil embolization; double-balloon technique; primitive trigeminal artery variant