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

Acta Neurochirurgica volume 152, pages1489–1492(2010)Cite this article

Abstract

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.

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Acknowledgements

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

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Affiliations

  1. Department of Neurosurgery, Inha University School of Medicine, Incheon, Republic of Korea

    Joonho Chung

  2. Department of Neurosurgery, Seoul St.Mary’s Hospital, The Catholic University of Korea, 505, Banpo-Dong, Seocho-Gu, 442-721, Seoul, Republic of Korea

    Yong Sam Shin

  3. Department of Radiology, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Republic of Korea

    Bum-soo Kim

  4. Catholic Medical Center, Seoul, Republic of Korea

    Tae-Hyun Kim

  5. Department of Neurosurgery, Cheju Halla General Hospital, Jeju, Republic of Korea

    Dongwoo Lee

Authors
  1. Joonho Chung
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  2. Bum-soo Kim
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  3. Dongwoo Lee
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  4. Tae-Hyun Kim
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  5. Yong Sam Shin
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Correspondence to Yong Sam Shin.

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Chung, J., Kim, Bs., Lee, D. et al. Vertebral artery occlusion with vertebral artery-to-posterior inferior cerebellar artery stenting for preservation of the PICA in treating ruptured vertebral artery dissection. Acta Neurochir 152, 1489–1492 (2010). https://doi.org/10.1007/s00701-010-0725-3

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Keywords

  • Vertebral artery dissection
  • PICA stenting
  • Enterprise
  • Stent