Endovascular treatment for unruptured aneurysm associated with persistent primitive trigeminal artery

a case report and literature review

Satoshi Murai, Kenji Sugiu, Tomohito Hishikawa, Masafumi Hiramatsu, Shingo Nishihiro, Naoya Kidani, Yu Takahashi, Isao Date

Research output: Contribution to journalArticle

Abstract

The persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis, and the incidence of cerebral aneurysms associated with the PPTA is approximately 4%. Since PPTA aneurysms often have a wide neck and other vascular anomalies, endovascular treatment using an adjunctive technique is the current first-line therapy. Here, we report a case of PPTA aneurysm treated by coil embolization with a stent-assisted technique. A detailed evaluation of the size and course of all vessels and collateral flow, including the Allcock test and balloon test occlusion, is necessary when deciding on the treatment strategy.

Original languageEnglish
JournalActa Neurochirurgica
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Aneurysm
Arteries
Balloon Occlusion
Intracranial Aneurysm
Therapeutics
Stents
Blood Vessels
Neck
Incidence

Keywords

  • Balloon test occlusion
  • Cerebral aneurysm
  • Coil embolization
  • Persistent primitive trigeminal artery
  • Stent-assisted technique

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

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abstract = "The persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis, and the incidence of cerebral aneurysms associated with the PPTA is approximately 4{\%}. Since PPTA aneurysms often have a wide neck and other vascular anomalies, endovascular treatment using an adjunctive technique is the current first-line therapy. Here, we report a case of PPTA aneurysm treated by coil embolization with a stent-assisted technique. A detailed evaluation of the size and course of all vessels and collateral flow, including the Allcock test and balloon test occlusion, is necessary when deciding on the treatment strategy.",
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AU - Murai, Satoshi

AU - Sugiu, Kenji

AU - Hishikawa, Tomohito

AU - Hiramatsu, Masafumi

AU - Nishihiro, Shingo

AU - Kidani, Naoya

AU - Takahashi, Yu

AU - Date, Isao

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AB - The persistent primitive trigeminal artery (PPTA) is the most common carotid-basilar anastomosis, and the incidence of cerebral aneurysms associated with the PPTA is approximately 4%. Since PPTA aneurysms often have a wide neck and other vascular anomalies, endovascular treatment using an adjunctive technique is the current first-line therapy. Here, we report a case of PPTA aneurysm treated by coil embolization with a stent-assisted technique. A detailed evaluation of the size and course of all vessels and collateral flow, including the Allcock test and balloon test occlusion, is necessary when deciding on the treatment strategy.

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KW - Stent-assisted technique

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