, 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



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.


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.


The aneurysm was occluded completely.


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.


Persistent primitive trigeminal artery Coiling Remodeling technique 


Conflict of interest statement

We declare that we have no conflict of interest.


  1. 1.
    Fortner AA, Smoker WR (1988) Persistent primitive trigeminal artery aneurysm evaluated by MR imaging and angiography. J Comput Assist Tomogr 12:847–850PubMedCrossRefGoogle Scholar
  2. 2.
    Siqueira M, Piske R, Ono M, Marion R (1993) Cerebellar arteries originating from the internal carotid artery. AJNR Am J Neuroradiol 14:1229–1235PubMedGoogle Scholar
  3. 3.
    Moret J, Cognard C, Weill A, Castaings L, Rey A (1997) Reconstruction technic in the treatment of wide-neck intracranial aneurysms. Long-term angiographic and clinical results. Apropos of 56 cases (in French). J Neuroradiol 24:30–44PubMedGoogle Scholar
  4. 4.
    Saltzman GF (1959) Patent primitive trigeminal artery studied by cerebral angiography. Acta Radiol 51:329–336PubMedCrossRefGoogle Scholar
  5. 5.
    Abe T, Fujita H, Ozawa N, Kawamura M, Shimazu M, Ikeda H, Izumiyama H, Matsumoto K (2000) Haemorrhagic nonsecreting pituitary adenoma associated with persistent primitive trigeminal artery. Acta Neurochir 142:1423–1424CrossRefGoogle Scholar
  6. 6.
    Brick JF, Roberts T (1987) Cerebral arteriovenous malformation coexistent with intracranial aneurysm and persistent trigeminal artery. South Med J 80:398–400PubMedGoogle Scholar
  7. 7.
    Suzuki S, Morioka T, Matsushima T, Ikezaki K, Hasuo K, Fukui M (1996) Moyamoya disease associated with persistent primitive trigeminal artery variant in incidental twins. Surg Neurol 45:236–240PubMedCrossRefGoogle Scholar
  8. 8.
    Tamura Y, Shimano H, Kuroiwa T, Miki Y (2003) Trigeminal neuralgia associated with a primitive trigeminal artery variant: case report. Neurosurgery 52:1217–1219PubMedCrossRefGoogle Scholar
  9. 9.
    Cloft HJ, Razack N, Kallmes DF (1999) Prevalence of cerebral aneurysms in patients with persistent primitive trigeminal artery. J Neurosurg 90:865–867PubMedCrossRefGoogle Scholar
  10. 10.
    Ikushima I, Arikawa S, Korogi Y, Uehara H, Komohara Y, Takahashi M (2002) Basilar artery aneurysm treated with coil embolization via persistent trigeminal artery. Cardiovasc Intervent Radiol 25:70–71PubMedCrossRefGoogle Scholar
  11. 11.
    Wanke I, Doerfler A, Schoch B, Stolke D, Forsting M (2003) Treatment of wide-necked intracranial aneurysms with a self-expanding stent system: initial clinical experience. AJNR Am J Neuroradiol 24:1192–1199PubMedGoogle Scholar

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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