139 204

Cited 14 times in

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

 S.H. Suh  ;  D.J. Kim  ;  D.I. Kim  ;  B.M. Kim  ;  T.-S. Chung  ;  C.K. Hong  ;  J.Y. Jung 
 American Journal of Neuroradiology, Vol.32(1) : 159-164, 2011 
Journal Title
 American Journal of Neuroradiology 
Issue Date
Adult ; Aged ; Cerebellar Diseases/diagnostic imaging* ; Cerebellar Diseases/surgery* ; Cerebellum/blood supply* ; Cerebellum/diagnostic imaging ; Cerebellum/surgery ; Embolization, Therapeutic/instrumentation* ; Embolization, Therapeutic/methods* ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging* ; Intracranial Aneurysm/surgery* ; Male ; Middle Aged ; Radiography ; Treatment Outcome
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.
Files in This Item:
T201100312.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Ik(김동익)
Kim, Dong Joon(김동준) ORCID logo https://orcid.org/0000-0002-7035-087X
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Suh, Sang Hyun(서상현) ORCID logo https://orcid.org/0000-0002-7098-4901
Jung, Jin Young(정진영)
Chung, Tae Sub(정태섭)
Hong, Chang Ki(홍창기)
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.