Journal of Radiology
Open Access

Aneurysm of the distal back cerebral vein is a rare and challenging condition to treat due to its characteristics, extensive physical area, and comprehensive neuroanatomical designs. Distal PCA aneurysms can be treated with careful cutout, parent vessel obstruction (PVO), or endovascular treatment. Endovascular the board with stream diverter stents is one of these, and its use has increased recently with positive outcomes. In this review, we discuss our specific thoughts regarding the Pipeline embolization device (PED) treatment of a P3 aneurysm.

Although distal back cerebral supply route (PCA) aneurysms are fascinating substances, their extensive anatomic area, intricate neuro anatomic designs, and higher prevalence of fusiform and large saccular aneurysms make them difficult to treat. Despite their connection to other vasculopathies like vasculitis, AVMs, and Moyamoya, saccular aneurysms are more likely to rupture in the beginning, which is unstable due to a faster rate of dilatation and drainage. Endovascular treatment is now the most common form of treatment out of all the options for administration. The development of stream diverters in recent years has led to an increase in their use in the treatment of various aneurysms, including PCA. The Pipeline embolization device’s off the shelf use in the treatment of distal PCA aneurysms is the subject of our in-depth review (Figure 1).

Figure 1: An illustration of a cerebral aneurysm.

PCA aneurysms address a fascinating and provocative condition to treat. When compared to cerebral aneurysms elsewhere, they will typically have distinct characteristics, such as a preference to include proximal fragments (P1 and P2), a higher frequency of fusiform and enormous saccular aneurysms, a greater likelihood of saccular aneurysms breaking apart in the beginning, which are unstable with a higher rate of dilatation and discharge, and a relationship with other vasculopathies like vasculitis, AVM and Moyamoya [1-4].

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