Coil embolization of giant serpentine aneurysms: report of two cases arising from the posterior cerebral artery

Coley, Stuart C.; Hodgson, Timothy J.; Jakubowski, Jan

doi:10.1080/02688690120114219

Cited by 20 publications

(24 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…this strategy is based on our experience and the following reasons: the high risk of alternative reconstructive surgery in distal PCA 7,11,15,[23][24][25][26][27][28][29] , the relative lack of data on the use of balloon or stent assistance in distal vessels, and finally and most critically, the data in the surgical literature suggesting that there is no difference in outcome whether the parent…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Deliberate Parent Artery Occlusion for Non-Saccular Posterior Cerebral Artery Aneurysms

Liu

Jiang

et al. 2011

Interv Neuroradiol

View full text Add to dashboard Cite

Posterior cerebral aneurysms are rare vascular lesions and usually present as non-saccular or dissecting in nature. We present a retrospective review of our experience in the deliberate parent artery occlusion of posterior cerebral artery (PCA) aneurysms. From June 2006 to June 2010, 12 patients (seven men, five women) with posterior cerebral artery non-saccular aneurysms presented to our department and were treated by parent artery occlusion. There were eight (66.7%) aneurysms located at the P2 segment, two (16.7%) at the P2–3 junction, one (8.3%) at the P1–2 junction and one (8.3%) at the P3 segment. Ten of the 12 patients were treated by aneurysm together with parent artery occlusion and two were treated by proximal occlusion. The procedure was technically successful in all cases. Angiography was performed immediately after the procedure in all patients and showed occlusion of the parent vessel with no filling of the aneurysm. Only one patient (8.3%) developed procedure-related transient hemianopsia and recovered within one month. The other 11 patients showed no additional neurological symptoms after procedure. Deliberate parent artery occlusion by detachable coils appears to be well tolerated for P2 or distal segment of PCA in our limited case series. We propose that this technique could be a good treatment option in treating non-saccular aneurysms in this location.

show abstract

Section: Resultsmentioning

confidence: 99%

“…the involved area of the PCA was classified into four segments according to Zeal and rhoton (28): there were eight (66.7%) aneurysms located at the P2 segment, two (16 there were no device-related complications during the procedure.…”

Section: Methodsmentioning

confidence: 99%

Deliberate Parent Artery Occlusion for Non-Saccular Posterior Cerebral Artery Aneurysms

Liu

Jiang

et al. 2011

Interv Neuroradiol

View full text Add to dashboard Cite

show abstract

“…The symptoms are dependent on the aneurysm location, but the predominant signs and symptoms are headache, hemiplegia and hemiparesis, visual disturbance, cranial nerve paresis, dysphasia and aphasia, nausea, vomiting, and seizure and vertigo. 1,3) The neuroimaging findings of GSAs are distinctive. CT demonstrates an oval or globoid mass of mixed density.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,12) However, these GSAs arose from the anterior cerebral artery, posterior cerebral artery, vertebral artery, and internal carotid artery. Two cases of GSA arising from the left MCA were complicated with aphasia after parent artery occlusion with endovascular treatment.…”

Section: Discussionmentioning

confidence: 99%

Giant Serpentine Aneurysm Arising From the Middle Cerebral Artery Successfully Treated With Trapping and Anastomosis -Case Report-

Abiko

Ikawa

Ohbayashi

et al. 2009

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 56-year-old man presented with a giant serpentine aneurysm arising from the middle cerebral artery (MCA) manifesting as right hemiparesis and motor aphasia. Magnetic resonance imaging and digital subtraction angiography identified the giant serpentine aneurysm arising from the MCA. The patient was treated surgically. Temporary clipping of the distal channel induced thrombosis in the vascular channel, and the thrombosis was aspirated with an ultrasonic suction device after superficial temporal artery-MCA anastomosis. This case shows that initial occlusion of the distal channel is effective to treat giant serpentine aneurysm.

show abstract

“…Giant Serpentine Aneurysms (GSAs) are extremely rare aneurysms with unique radiological and pathological features [1]. They are giant, usually partially thrombose aneurysms with a diameter greater than 25 mm and are characterized by the presence of a snake-like channel between the inflow and outflow of the aneurysm [2] [3] [4].…”

Section: Introductionmentioning

confidence: 99%

Giant Serpentine Cerebral Aneurysm of the Middle Cerebral Artery: Case Report

Shamy¹,

Alsahafi²,

Alghamdi³

et al. 2017

OJMI

View full text Add to dashboard Cite

A 43-year-old male presented with severe intermittent headaches since two years accompanied by multiple episodes of generalized seizures and left hand weakness. MRI scan and cerebral angiography confirmed the diagnosis of a giant serpentine cerebral aneurysm arising from the middle cerebral artery. The patient was admitted for a possible cerebral embolization after undergoing a Balloon Occlusion Test (BOT). Since he tolerated the occlusion test, he underwent coil embolization afterwards with successful occlusion followed by an uneventful recovery and no complications. Later on, the patient was discharged home in a stable and good general condition without any neurological deficits. A six-month angiography follow-up revealed a complete occlusion with no re-canalization of the coiled giant serpentine aneurysm. Therefore, we concluded that parent artery occlusion is a good and safe procedure providing that the patient tolerated both the occlusion and the hemodynamic stress tests.

show abstract

Coil embolization of giant serpentine aneurysms: report of two cases arising from the posterior cerebral artery

Cited by 20 publications

References 11 publications

Deliberate Parent Artery Occlusion for Non-Saccular Posterior Cerebral Artery Aneurysms

Deliberate Parent Artery Occlusion for Non-Saccular Posterior Cerebral Artery Aneurysms

Giant Serpentine Aneurysm Arising From the Middle Cerebral Artery Successfully Treated With Trapping and Anastomosis -Case Report-

Giant Serpentine Cerebral Aneurysm of the Middle Cerebral Artery: Case Report

Contact Info

Product

Resources

About