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Coil Embolization of a Ruptured Posterior Cerebral Artery Aneurysm Via the Internal Carotid Artery and a Posterior Communicating Artery: A Case Report Shinya YAMAGUCHI 1 , Osamu ITO 2 , Naoyuki IMAMOTO 3 , Hideki MURATA 3 , Yoshihisa MAEDA 3 , Fumiaki YUHI 3 , Yoshihiro NATORI 3 , Koichiro MATSUKADO 1 1Department of Neurosurgery,Hamanomachi Hospital 2Department of Neurosurgery,Shin-Koga Hospital 3Department of Neurosurgery,Iizuka Hospital Keyword: coil embolization , posterior cerebral artery aneurysm , posterior communicating artery pp.171-176
Published Date 2011/2/10
DOI https://doi.org/10.11477/mf.1436101351
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 A posterior cerebral artery aneurysm is a rare condition. Various surgical approaches have to be considered for operating on these aneurysms because the position of the aneurysm and the surrounding structures restrict the operative field and render the operation difficult. Recently,endovascular treatments for posterior cerebral artery aneurysms have been reported to provide a good outcome.

 We present a case of a ruptured posterior cerebral artery aneurysm treated with coil embolization. We adopted endovascular treatment because a large vein of Labbé was expected to restrict the operative field. The internal carotid artery and a fetal-type posterior communicating artery (PCoA) were chosen as the access route because of P1 hypoplasty,and a coaxial guiding system was used because of the tortuous access route. The aneurysm was suitably embolized using Guglielmi detachable coils (GDCs). In a case of posterior cerebral artery aneurysm,we report the usefulness of endovascular treatment performed through the internal carotid artery and a fetal-type PCoA.


Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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