Skip to main content
SpringerLink
Log in

Endovascular treatment of PICA aneurysms

  • Interventional Neuroradiology
  • Published:
Neuroradiology Aims and scope Submit manuscript

Abstract

Endovascular treatment of aneurysms of the posterior inferior cerebellar artery (PICA) avoids manipulation of the brainstem or lower cranial nerves and should therefore carry a lower risk of neurological morbidity than surgical clipping. We reviewed our experience of 23 patients with PICA aneurysms treated by endovascular occlusion with Guglielmi detachable coils and documented their long-term outcome on follow-up. We observed a 28 day procedure-related neurological morbidity of 13% (3/23 patients). One patient suffered permanent neurological complications. There were no procedure-related deaths. None of our patients suffered a re-bleed from their treated aneurysms. Our series shows endovascular treatment of ruptured PICA aneurysms to be safe and effective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2. a

Similar content being viewed by others

References

  1. Locksley HB (1966) Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 25: 219–239

    CAS  PubMed  Google Scholar 

  2. Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, Garcia-Bengochea F (1983) Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 58:381–387

    CAS  PubMed  Google Scholar 

  3. Salcman M, Rigamonti D, Numaguchi Y, et al (1990) Aneurysms of the posterior inferior cerebellar artery–vertebral artery complex: variations on a theme. Neurosurgery 27:12–21

    CAS  PubMed  Google Scholar 

  4. Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet I:480–484

    Google Scholar 

  5. Lister JR, Rhoton AL, Matsushima T, et al (1982) Microsurgical anatomy of the posterior inferior cerebellar artery. Neurosurgery 10: 170–199

    CAS  PubMed  Google Scholar 

  6. Horowitz M, Kopitnik T, Landreneau F, et al (1998) Posterior inferior cerebellar artery aneurysms: surgical results for 38 patients. Neurosurgery 43:1026–1032

    CAS  PubMed  Google Scholar 

  7. Hayakawa M, Murayama Y, Duckwiler GR, et al (2000) Natural history of the neck remnant of a cerebral aneurysm treated with the Guglielmi detachable coil system. J Neurosurg 93: 561–568

    CAS  PubMed  Google Scholar 

  8. Vinuela F, Duckwiler G, Mawad M (1997) Guglielmi detachable coil embolisation of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86: 475-482

    PubMed  Google Scholar 

  9. Byrne JV, Sohn MJ, Molyneux A (1999) Five-year experience in using coil embolization for ruptured intracranial aneurysms: outcomes and incidence of late rebleeding. J Neurosurg 90: 656–663

    CAS  PubMed  Google Scholar 

  10. Morris P (1997)Practical neuroangiography. Lippincott Williams & Wilkins, Baltimore, pp 227–230

  11. Lee SK, Gower DJ, Branch CL, et al (1989) Surgical repair of aneurysms of the posterior inferior cerebellar artery: a clinical series. Surg Neurol 31: 85–91

    CAS  PubMed  Google Scholar 

  12. Ushikoshi S, Kikuchi Y, Houkin K, et al (1999) Aggravation of brainstem symptoms caused by a large superior cerebellar artery aneurysm after embolization by Guglielmi detachable coils: case report. Neurol Med Chir 39: 524–529

    CAS  Google Scholar 

  13. Malisch TW, Guglielmi G, Vinuela F, et al (1998) Unruptured aneurysms presenting with mass effect symptoms: response to endosaccular treatment with Guglielmi detachable coils. I. Symptoms of cranial nerve dysfunction. J Neurosurg 89: 956–961

    CAS  PubMed  Google Scholar 

  14. Hutchinson PJ, Power DM, Tripathi P, et al (2000) Outcome from poor grade aneurysmal subarachnoid haemorrhage: which poor grade subarachnoid haemorrhage patients benefit from aneurysm clipping? Br J Neurosurg 14: 105–109

    Article  CAS  PubMed  Google Scholar 

  15. Yoshimoto Y, Wakai S, Ochiai C, et al (1997) Significance of papillary reactivity in poor-grade aneurysm patients as a prognostic factor and an indication for active treatment. Br J Neurosurg 11: 25–31

    Article  CAS  Google Scholar 

  16. Drake CG (1979) The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26: 96–144

    CAS  PubMed  Google Scholar 

  17. Yamaura A (1988) Diagnosis and treatment of vertebral aneurysms. J Neurosurg 69: 345–349

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Radiology Department, Greater Manchester Neurosciences Unit, Hope Hospital, Salford, Manchester, UK

    W. Mukonoweshuro, R. D. Laitt & D. G. Hughes

Authors
  1. W. Mukonoweshuro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. D. Laitt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. G. Hughes
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. G. Hughes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mukonoweshuro, W., Laitt, R.D. & Hughes, D.G. Endovascular treatment of PICA aneurysms. Neuroradiology 45, 188–192 (2003). https://doi.org/10.1007/s00234-002-0913-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00234-002-0913-9

Keywords

Search

Navigation