Brain Circulation

CASE REPORT
Year
: 2020  |  Volume : 6  |  Issue : 2  |  Page : 130--132

Treatment of acute thrombosis during stent-assisted coil embolization of ruptured proximal posterior inferior cerebellar artery aneurysm


Guangwen Li, Tonghui Liu, Naidong Wang, Yong Zhang 
 Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China

Correspondence Address:
Prof. Yong Zhang
Department of Neurology, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao 266000
China

Aneurysms located in the posterior inferior cerebellar artery (PICA) are not a majority of the intracranial aneurysms cases. Many challenges were addressed in the endovascular procedure to treat the disease. The authors have successfully diagnosed and treated a ruptured proximal PICA aneurysm. However, digital subtraction angiography showed acute thrombosis in the vertebral artery in the procedure, which probably could be an acute in-stent thrombosis. The tirofiban hydrochloride injection was subjected through a microcatheter, and then, the second Neuroform EZ stent was planted. In the 6-month follow-up, no recurrence of the aneurysm and complete patency of the right PICA at the site of aneurysm formation were found. We believe that the treatment of PICA aneurysms with Neuroform EZ stents could get a favorable result. Combination of tirofiban hydrochloride and Neuroform EZ stent could be an effective approach in treating acute thrombotic complications.


How to cite this article:
Li G, Liu T, Wang N, Zhang Y. Treatment of acute thrombosis during stent-assisted coil embolization of ruptured proximal posterior inferior cerebellar artery aneurysm.Brain Circ 2020;6:130-132


How to cite this URL:
Li G, Liu T, Wang N, Zhang Y. Treatment of acute thrombosis during stent-assisted coil embolization of ruptured proximal posterior inferior cerebellar artery aneurysm. Brain Circ [serial online] 2020 [cited 2022 Jun 25 ];6:130-132
Available from: http://www.braincirculation.org/article.asp?issn=2394-8108;year=2020;volume=6;issue=2;spage=130;epage=132;aulast=Li;type=0