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Updated: Jul 19, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Balloon-assisted coil embolization of a posterior cerebral artery aneurysm via a persistent primitive trigeminal
Marc Schlamann1, Arnd Doerfler, Beate Schoch
1Department of Neuroradiology, Institute of Diagnostic and Interventional Radiology, University of Essen Medical School, Hufelandstr. 55, 45122 Essen, Germany. marc.schlamann@uni-essen.de
Introduction:
We present a patient with an acutely ruptured, wide-necked aneurysm of the left posterior cerebral artery (PCA) treated with Guglielmi detachable coils using the remodeling technique.
Methods:
Since the left vertebral artery was compressed due to a tumor in the cerebellopontine angle and the right vertebral artery was hypoplastic, we used a carotid artery approach via a persistent primitive trigeminal artery (PPTA) to selectively catheterize the aneurysm.
Results:
The aneurysm was occluded completely.
Conclusion:
To our knowledge this is the first case of a wide-necked PCA aneurysm treated via a PPTA and using the remodeling technique. In patients with hypoplastic vertebral arteries and a PPTA, this approach may represent an alternative for selective embolization of posterior circulation aneurysms not amenable to the conventional approach.
