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Neuroradiology

, 48:931 | Cite as

Balloon-assisted coil embolization of a posterior cerebral artery aneurysm via a persistent primitive trigeminal artery: technical note

  • Marc SchlamannEmail author
  • Arnd Doerfler
  • Beate Schoch
  • Michael Forsting
  • Isabel Wanke
Interventional Neuroradiology

Abstract

Introduction

We present a patient with an acutely ruptured, wide-necked aneurysm of the left posterior cerebral artery (PCA) treated with Guglielmi detachable coils using the remodeling technique.

Methods

Since the left vertebral artery was compressed due to a tumor in the cerebellopontine angle and the right vertebral artery was hypoplastic, we used a carotid artery approach via a persistent primitive trigeminal artery (PPTA) to selectively catheterize the aneurysm.

Results

The aneurysm was occluded completely.

Conclusion

To our knowledge this is the first case of a wide-necked PCA aneurysm treated via a PPTA and using the remodeling technique. In patients with hypoplastic vertebral arteries and a PPTA, this approach may represent an alternative for selective embolization of posterior circulation aneurysms not amenable to the conventional approach.

Keywords

Persistent primitive trigeminal artery Coiling Remodeling technique 

Notes

Conflict of interest statement

We declare that we have no conflict of interest.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Marc Schlamann
    • 1
    Email author
  • Arnd Doerfler
    • 1
  • Beate Schoch
    • 2
  • Michael Forsting
    • 1
  • Isabel Wanke
    • 1
  1. 1.Department of Neuroradiology, Institute of Diagnostic and Interventional RadiologyUniversity of Essen Medical SchoolEssenGermany
  2. 2.Department of NeurosurgeryUniversity of Essen Medical SchoolEssenGermany

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