Acta Neurochirurgica

, Volume 152, Issue 9, pp 1489–1492 | Cite as

Vertebral artery occlusion with vertebral artery-to-posterior inferior cerebellar artery stenting for preservation of the PICA in treating ruptured vertebral artery dissection

  • Joonho Chung
  • Bum-soo Kim
  • Dongwoo Lee
  • Tae-Hyun Kim
  • Yong Sam ShinEmail author
Case Report


We report a patient with a right vertebral artery (VA) dissecting aneurysm who was treated by placing an Enterprise stent (Cordis Neurovascular, Miami Lakes, FL) from the proximal VA to the posterior inferior cerebellar artery (PICA) in order to save the patency of the PICA. A 47-year-old man was admitted with a ruptured right VA dissecting aneurysm that involved the origin of the PICA. A 4.5 × 37-mm Enterprise stent was then placed through the proximal VA to the PICA. The dissected segment of the VA was completely occluded by coil embolization. The 1-year follow-up angiography showed that the dissected segment was completely occluded and the diameter of the PICA was slightly increased, and the PICA’s patency was good.


Vertebral artery dissection PICA stenting Enterprise Stent 



We declare that we have no conflict of interest in relation to this article.


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Joonho Chung
    • 1
  • Bum-soo Kim
    • 3
  • Dongwoo Lee
    • 5
  • Tae-Hyun Kim
    • 4
  • Yong Sam Shin
    • 2
    Email author
  1. 1.Department of NeurosurgeryInha University School of MedicineIncheonRepublic of Korea
  2. 2.Department of NeurosurgerySeoul St.Mary’s Hospital, The Catholic University of KoreaSeoulRepublic of Korea
  3. 3.Department of RadiologySeoul St. Mary’s Hospital, The Catholic University of KoreaSeoulRepublic of Korea
  4. 4.Catholic Medical CenterSeoulRepublic of Korea
  5. 5.Department of NeurosurgeryCheju Halla General HospitalJejuRepublic of Korea

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