Browsing by Subject "Posterior inferior cerebellar artery"

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    Woven Endobridge device for treatment of dissection-related PICA aneurysm
    (Sage, 2021) Khattar, Nicolas K.; White, Andrew C.; Cruz, Aurora S.; Adams, Shawn W.; Meyer, Kimberly S.; Nauta, Haring J.W.; Ding, Dale; James, Robert F.; Neurological Surgery, School of Medicine
    Ruptured vertebrobasilar dissecting aneurysms require urgent, often challenging treatment as they have with a high re-hemorrhage rate within the first 24 hours. The patient is a 57-year-old woman who presented with severe-sudden onset headache. Further work up showed a ruptured dissecting aneurysm of the caudal loop of the posterior inferior cerebellar artery (PICA) with associated narrowing distally, in the ascending limb. The aneurysm was immediately occluded with a Woven Endobridge (WEB) device (MicroVention, Tustin, CA, USA) while flow diversion treatment of the diseased ascending limb was postponed. Follow-up angiography three months later showed complete occlusion of the aneurysm, as well as healing of the diseased distal vessel, obviating the need for further intervention. WEB embolization of a ruptured dissecting posterior circulation aneurysm provided an excellent outcome for this patient.