Journal of Radiology
Open Access

Aneurysm of the distal back cerebral vein is an exceptional and inciting substance to treat on account of its characteristics, significant actual region and enveloping complex neuro anatomic plans. Treatment decisions of distal PCA aneurysms integrate cautious cut-out, pulmonary veno-occlusive disease (PVO) and endovascular treatment. Among these, endovascular the board with stream diverter stents has been continuously utilized actually with incredible outcomes. In this survey, we depict our specific discernments in the treatment of a P3 aneurysm utilizing Pipeline embolization device (PED).

Though distal back cerebral stock course aneurysms are intriguing substances, they present a treatment challenge in light of their significant anatomic region, complex enveloping neuro anatomic plans, higher pace of fusiform and gigantic saccular aneurysms. Saccular aneurysms are more plausible dismantling in starting which is temperamental with higher speed of dilatation and channel, despite relationship with other vasculopathies like vasculitis, AVMs and Moyamoya. Of the open organization decisions, endovascular treatment has transformed into the mainstay of treatment. Late advancement in stream diverters has provoked extending use of these devices in the treatment of various aneurysms including PCA. In this audit, we depict our particular notes in the off-mark use of Pipeline embolization contraption in the treatment of distal PCA aneurysms (Figure 1).

Figure 1: Cerebral aneurysm.

Aneurysms of the PCA address an interesting and an inciting component to treat. They will for the most part have unequivocal characteristics when diverged from cerebral aneurysms elsewhere including inclination to incorporate proximal sections (P1 and P2), higher recurrence of fusiform and gigantic saccular aneurysms, saccular aneurysms are more plausible dismantling in starting which are unstable with higher speed of dilatation and release, despite relationship with other vasculopathies like vasculitis, AVMs and Moyamoya [1-4].

Acknowledgement

None

Conflict of Interest

None

References

1. Goehre F, Jahromi BR, Hernesniemi J, Elsharkawy A, Kivisaari R, et al. (2014) Characteristics of posterior cerebral artery aneurysms: an angiographic analysis of 93 aneurysms in 81 patients. Neurosurgery 75: 134-144.

Indexed at, Google Scholar, Crossref

2. Kobkitsuksakul C, Somboonnitiphol K, Apirakkan M, Lueangapapong P, Chanthanaphak E  (2020) Dolichoectasia of the internal carotid artery terminus, posterior communicating  artery, and posterior cerebral artery: The embryonic caudal ramus internal carotid segmental vulnerability legacy. Interv Neuroradiol 26: 124-130.

Indexed at, Google Scholar, Crossref

3. Hou K, Lv X, Yu J (2022) Endovascular Treatment of Posterior Cerebral Artery Trunk Aneurysm: The Status Quo and Dilemma. Front Neurol 12: 746525.

Indexed at, Google Scholar, Crossref

4. Ciceri EF, Klucznik RP, Grossman RG, Rose JE, Mawad ME (2001) Aneurysms of the posterior cerebral artery: classification and endovascular  treatment. AJNR Am J Neuroradiol 22: 27-34.

Indexed at, Google Scholar