Posterior communicating artery aneurysm endovascular treatment

• Illustrated step-by-step guide to stent-assisted coiling of wide-neck posterior inferior cerebellar aneurysm via a contralateral vertebral artery approach
• Risk Factors for Unfavorable Angiographic Outcomes after Reconstructive Endovascular Treatments of Unruptured Vertebral Artery Dissecting Aneurysms
• Intracranial Aneurysm Predisposing to Terson's Syndrome: Insights From a Systematic Review
• Isochrone-based Identification of Gaps in Neurovascular Care in Germany
• Flow diversion for treatment of acutely ruptured intracranial aneurysms: Comparison of complications and clinical outcomes with coil embolization
• Flow diverter with or without adjunctive coils in the treatment of large and giant intracranial aneurysms: a meta-analysis
• Endovascular treatment of posterior circulation aneurysms with flow diverters with hydrophilic polymer coating in patients receiving prasugrel single antiplatelet therapy: a multicenter case series presenting complication and occlusion rates
• Treatment outcomes of successful M1 versus M2 thrombectomy for low-ASPECTS stroke patients

The endovascular technique is a safe and highly efficient alternative to surgical clipping for PcomA aneurysms with oculomotor nerve palsy (ONP) ¹⁾.

For the true posterior communicating artery aneurysm it is a safe and feasible procedure but may be associated with aneurysm recurrence in midterm follow-up, requiring close surveillance and potential retreatment ²⁾.

Also in the presence of fetal posterior communicating artery using multiple strategies ³⁾.

However, patients who present with severe SAH still have an overall poor prognosis. Partial coiling of the aneurysm and the parent artery is an attractive alternative treatment for patients who may not tolerate parent artery occlusion. Further study with a larger case series is necessary for validation of the durability and efficacy of this treatment ⁴⁾.

see Pipeline embolization of posterior communicating artery aneurysm.