Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery

Aneurysms of the persistent trigeminal artery (PTA) trunk are exceptionally rare and have a high risk for rupture. Dual stent placement through each internal carotid and basilar artery for endovascular coil embolization of a fusiform aneurysm arising from the PTA has not been described in the litera...

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Main Authors: Gordhan Ajeet, Dickinson John
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2016-09-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/ni-11-131.pdf
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author Gordhan Ajeet
Dickinson John
author_facet Gordhan Ajeet
Dickinson John
author_sort Gordhan Ajeet
collection DOAJ
description Aneurysms of the persistent trigeminal artery (PTA) trunk are exceptionally rare and have a high risk for rupture. Dual stent placement through each internal carotid and basilar artery for endovascular coil embolization of a fusiform aneurysm arising from the PTA has not been described in the literature. A 44-year-old female with a history of chronic headache was identified to have a fusiform aneurysm arising from medially coursing adult type, Saltzman type 3 PTA trunk. Sacrifice of the PTA trunk inclusive of the aneurysm was performed with dual stent placement through each basilar and internal carotid artery across their respective junctions with the PTA. Six-month follow-up angiography showed complete occlusion of the PTA and the aneurysm. The patient's symptoms resolved. Our case demonstrated that the sacrifice of an adult type, Saltzman type 3 PTA inclusive of an associated fusiform aneurysm is feasible with dual stent-assisted coil embolization.
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spelling doaj.art-0427286c11484468a5b09b7251ec94842024-02-02T13:45:55ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732016-09-0111213113410.5469/neuroint.2016.11.2.131110Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal ArteryGordhan Ajeet0Dickinson John1Department of Neurosciences, St Joseph Medical Center, USA.Department of Neurosciences, Advocate BroMenn Medical Center, USA.Aneurysms of the persistent trigeminal artery (PTA) trunk are exceptionally rare and have a high risk for rupture. Dual stent placement through each internal carotid and basilar artery for endovascular coil embolization of a fusiform aneurysm arising from the PTA has not been described in the literature. A 44-year-old female with a history of chronic headache was identified to have a fusiform aneurysm arising from medially coursing adult type, Saltzman type 3 PTA trunk. Sacrifice of the PTA trunk inclusive of the aneurysm was performed with dual stent placement through each basilar and internal carotid artery across their respective junctions with the PTA. Six-month follow-up angiography showed complete occlusion of the PTA and the aneurysm. The patient's symptoms resolved. Our case demonstrated that the sacrifice of an adult type, Saltzman type 3 PTA inclusive of an associated fusiform aneurysm is feasible with dual stent-assisted coil embolization.http://neurointervention.org/upload/pdf/ni-11-131.pdfendovascular coil embolizationfusiform aneurysmpersistent trigeminal artery
spellingShingle Gordhan Ajeet
Dickinson John
Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
Neurointervention
endovascular coil embolization
fusiform aneurysm
persistent trigeminal artery
title Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
title_full Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
title_fullStr Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
title_full_unstemmed Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
title_short Dual Stent-Assisted Coil Embolization for Fusiform Aneurysm Arising From Persistent Trigeminal Artery
title_sort dual stent assisted coil embolization for fusiform aneurysm arising from persistent trigeminal artery
topic endovascular coil embolization
fusiform aneurysm
persistent trigeminal artery
url http://neurointervention.org/upload/pdf/ni-11-131.pdf
work_keys_str_mv AT gordhanajeet dualstentassistedcoilembolizationforfusiformaneurysmarisingfrompersistenttrigeminalartery
AT dickinsonjohn dualstentassistedcoilembolizationforfusiformaneurysmarisingfrompersistenttrigeminalartery