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KMID : 1005420160180020124
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 2 p.124 ~ p.128
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Retrograde Stent-assisted Coil Embolization of Wide-neck or Branch-incorporated Posterior Communicating Artery Aneurysm
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Park Jeong-Woo
Cheong Jin-Hwan
Choi Kyu-Sun
Park Dong-Woo
Ryu Je-Il
Kim Jae-Min
Kim Choong-Hyun
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Abstract
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Endovascular coil embolization using a balloon- or stent-assisted technique for the treatment of wide-necked posterior communicating artery (PcomA) aneurysms is well established. However, complete aneurysm occlusion with preservation of the PcomA can be difficult in case of wide-neck aneurysms with a PcomA incorporation. We present two cases of stent-assisted coil embolization using a retrograde approach through the posterior circulation for wide-neck or branch-incorporated PcomA aneurysms. Retrograde stenting was successful without periprocedural complications. These aneurysms were completely occluded. The patency of the PcomA was maintained in all cases.
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KEYWORD
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Endovascular procedure, Posterior communicating artery aneurysm, Stents
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