Endovascular therapy for posterior circulation aneurysms: report with 14 cases

Abstract

Objective To investingate the safety and feasibility of endovascular therapy in posterior circulation aneurysms.Methods There were 14 patients with posterior circulation aneurysms in this group,8 aneurysms located in the apex of basilar artery,3 aneurysms in superior cerebellar artery,l aneruysms in posterior inferior cerebellar artery,2 dissect aneurysms in vertebral artery. 6 patients were treated with coiling,3 patients with balloon assisted coiling,4 patients with Neuroform stent assisted coiling,1 patient was with Neuroform stent. Results 11 patients received complete occlusion,3 patients receiced 95％ occlusion.There was no SAH within follow - up period. DSA was performed in 3 patients,there was no recurrence. The patient solo -treated with stent was followed up with DSA one month later,and the aneurysm disappeared.Conclusion Endovascular therapy is a valuable and safe method for treatment of posterior circulation aneurysms. Key words: Intracranial aneurysm; Posterior circulation aneurysm; Endovascular therapy