Posterior inferior cerebellar artery aneurysm treatment

• Parent Artery Occlusion Using Multiple Short iED Coils and n-Butyl Cyanoacrylate via a Marathon Microcatheter for a Dissecting Aneurysm of the Distal Posterior Inferior Cerebellar Artery With Severe Flexion of the Caudal Loop: A Case Report
• Surgical treatment of eccentric-fusiform aneurysm of proximal basilar artery. Case report and literature review
• Right occipital to Right distal PICA bypass and trapping of ruptured Right PICA dissecting aneurysm after initial coil embolization
• Stand-alone small low-profile braided stents for challenging unruptured posterior inferior cerebellar artery aneurysms compared to conventional endovascular methods: A cohort study
• Distal posterior inferior cerebellar artery (PICA) displacement with end-to-side anastomosis to contralateral PICA: a novel bypass surgery for PICA aneurysm. Illustrative case
• Current status and prospects of endovascular treatment for intracranial vertebral artery aneurysms: A narrative review
• Review of treatment modalities and clinical outcome of giant saccular posterior inferior cerebellar artery aneurysms
• A case of vasa corona ruptured pseudoaneurysm: case report and review of literature

The vicinity of brainstem and cranial nerves as well as the limited operative working space make clip ligation of posterior inferior cerebellar artery (PICA) aneurysms challenging. The small caliber of the PICA and the broad neck often associated with these aneurysms also create challenges in preserving this artery during treatment. Few data exist to compare the 2 treatment approaches for aneurysms in this location ¹⁾.

Endovascular treatment is associated with higher risks of recurrence, requiring additional treatment. Outcomes were mostly impacted by clinical state at admission ²⁾.

Posterior inferior cerebellar artery aneurysm surgery

Owing to the evolution of endovascular interventions and devices and the higher rates of microsurgical complications, vertebral artery (VA) and posterior inferior cerebellar artery (PICA) aneurysms are predominantly treated with endovascular procedures ^{3) 4) 5) 6) 7) 8) 9)}