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Management of anterior inferior cerebellar artery aneurysms: endovascular treatment and clinical outcome

Authors
 S.H. Suh  ;  D.J. Kim  ;  J.Y. Jung  ;  C.K. Hong  ;  T.-S. Chung  ;  B.M. Kim  ;  D.I. Kim 
Citation
 American Journal of Neuroradiology, Vol.32(1) : 159-164, 2011 
Journal Title
 American Journal of Neuroradiology 
ISSN
 0195-6108 
Issue Date
2011
Abstract
BACKGROUND AND PURPOSE: AICA aneurysms are rare and a challenge to treat surgically. We present our experience of the angiographic results and the clinical outcomes for 9 AICA aneurysms treated by EVT. MATERIALS AND METHODS: Between 1997 and 2009, EVT was attempted for 9 AICA aneurysms. Six patients presented with SAH, and 3 aneurysms were found incidentally. The location of the aneurysms was the proximal AICA in 7 and the distal AICA in 2. Five aneurysms originated from an AICA-PICA variant. Clinical outcomes and procedural complications were evaluated, and angiography was performed 6, 12, and 24 months after embolization to confirm recanalization of the coiled aneurysm. RESULTS: EVT was technically successful in 7 patients (78%). Surgical trapping was performed in 1 patient after failure of EVT, and another aneurysm occluded spontaneously, along with the parent artery during EVT. In 7 patients, the AICAs had good patency on postoperative angiography. Stent-assisted coiling was performed in 3 patients. Follow-up angiographies were performed in 7 patients and showed no evidence of recanalization or progressive occlusion with further thrombosis except in 1 patient. There was no evidence of aneurysm rupture during the follow-up period, and 8 patients were able to perform all usual activities (mRS score, 0-1). CONCLUSIONS: EVT may provide a feasible and safe option as an alternative, though a microsurgical option is initially considered for the management of AICA aneurysms. Further follow-up and more experience are also necessary.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92674
DOI
10.3174/ajnr.A2360
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실)
Yonsei Authors
김동익(Kim, Dong Ik) ; 김동준(Kim, Dong Joon) ; 김병문(Kim, Byung Moon) ; 서상현(Suh, Sang Hyun) ; 정진영(Jung, Jin Young) ; 정태섭(Chung, Tae Sub) ; 홍창기(Hong, Chang Ki)
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