Posterior communicating artery section during surgery for basilar tip aneurysm

1996 ◽  
Vol 138 (7) ◽  
pp. 853-861 ◽  
Author(s):  
S. Inao ◽  
H. Kuchiwaki ◽  
N. Hirai ◽  
T. Gonda ◽  
M. Furuse
Keyword(s):  
Posterior Communicating Artery ◽  
Basilar Tip Aneurysm

Tuberothalamic Infarct after Division of a Hypoplastic Posterior Communicating Artery for Clipping of a Basilar Tip Aneurysm: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 28 (3) ◽  
pp. 456-459 ◽  
Author(s):  
Luca Regli ◽  
Nicolas de Tribolet
Keyword(s):  
Case Report ◽  
Clinical Observation ◽  
Significant Risk ◽  
Posterior Communicating Artery ◽  
Microsurgical Anatomy ◽  
Parent Vessel ◽  
Pterional Approach ◽  
Basilar Tip Aneurysm

Abstract The authors present a case of a tuberothalamic infarct subsequent to division of the posterior communicating artery for clipping of a high-lying aneurysm of the basilar bifurcation using the pterional approach. In view of this clinical observation and some particular aspects of the microsurgical anatomy of the perforating vessels of the posterior communicating artery, we conclude that interrupting this parent vessel carries a significant risk of infarction.

Transcirculation balloon-assisted stent-supported coil embolization of a basilar tip aneurysm

2014 ◽  
Vol 37 (v1supplement) ◽  
pp. 1
Author(s):  
Vijay Agarwal ◽  
Ali Zomorodi ◽  
Cameron Mcdougal ◽  
Ranjith Babu ◽  
Adam Back ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Basilar Artery ◽  
Coil Embolization ◽  
Posterior Communicating Artery ◽  
Link Type ◽  
Left Posterior ◽  
Basilar Tip Aneurysm ◽  
The Right

We present the case of a balloon-assisted, stent-supported coil embolization of a basilar tip aneurysm. Initially, a balloon extending from the basilar artery into the right PCA was placed.3 However, even with a more proximal purchase, coils were found to impinge on the left PCA. Subsequently, a transcirculation approach was performed, where the left posterior communicating artery was utilized as a conduit for balloon support and the coils were embolized from the ipsilateral vertebral artery.1 However, after this transcirculation approach was completed, there was a coil tail extruding from the aneurysm. The balloon was then removed over an exchange wire and a horizontal stent advanced, spanning the entire neck of the aneurysm, eliminating the extruded coil.2The video can be found here: http://youtu.be/bMbtZoPnYvo.

CT and Angiographic Analysis of Posterior Communicating Artery Aneurysms: What Factors Influence the Amount of Subarachnoid Blood?

1998 ◽  
Vol 39 (3) ◽  
pp. 441
Author(s):  
Young Min Kim ◽  
Kun Sik Jung ◽  
Myung Ho Rho ◽  
Pil Youb Choi ◽  
Young Soon Sung ◽  
...  
Keyword(s):  
Posterior Communicating Artery ◽  
Subarachnoid Blood

Multiple Cerebral Aneurysm - Case Report

2014 ◽  
Vol 21 (3) ◽  
pp. 279-282 ◽  
Author(s):  
C. Kakucs ◽  
I. St. Florian
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ct Scan ◽  
Cerebral Aneurysm ◽  
Internal Carotid ◽  
Neurological Status ◽  
Posterior Communicating Artery ◽  
Nuchal Rigidity ◽  
Angio Ct

Abstract This 41-years-old female presented with somnolence, confusion and nuchal rigidity. Preoperative angio-CT scan showed two aneurysm located on both internal carotid artery (ICA) at the site of posterior communicating artery (PComA). During surgery we discovered another dilatation on the origin of left ophtalmic artery that proves to be an infundibullum. We clipped the two communicating posterior aneurysm from the left side and the ophtalmic infundibullum was wrapped. Seven days after surgery the neurological status was improved and she was transferred to the Neurological department.

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