PulseRider-assisted coil embolization for an unruptured internal carotid artery-persistent primitive trigeminal artery aneurysm

Tomoaki Akiyama; Hirotoshi Imamura; Masashi Shigeyasu; Masanori Goto; Ryu Fukumitsu; Tadashi Sunohara; Shirabe Matsumoto; Nobuyuki Fukui; Yoshihiro Omura; Tatsumaru Fukuda; Koichi Go; Shinji Kajiura; Kento Asakura; Ryo Horii; Yuji Naramoto; Rikuo Nishii; Yasuhiro Yamamoto; Chiaki Sakai; Nobuyuki Sakai

doi:10.1016/j.jstrokecerebrovasdis.2022.106876

PulseRider-assisted coil embolization for an unruptured internal carotid artery-persistent primitive trigeminal artery aneurysm

J Stroke Cerebrovasc Dis. 2023 Feb;32(2):106876. doi: 10.1016/j.jstrokecerebrovasdis.2022.106876. Epub 2022 Dec 2.

Authors

Tomoaki Akiyama¹, Hirotoshi Imamura², Masashi Shigeyasu², Masanori Goto², Ryu Fukumitsu², Tadashi Sunohara², Shirabe Matsumoto², Nobuyuki Fukui², Yoshihiro Omura², Tatsumaru Fukuda², Koichi Go², Shinji Kajiura², Kento Asakura², Ryo Horii², Yuji Naramoto², Rikuo Nishii², Yasuhiro Yamamoto², Chiaki Sakai², Nobuyuki Sakai²

Affiliations

¹ Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan; Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address: akiyama.tomoaki@kyudai.jp.
² Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan.

PMID: 36470175
DOI: 10.1016/j.jstrokecerebrovasdis.2022.106876

Abstract

A persistent primitive trigeminal artery (PPTA) is a vessel remnant of carotid-vertebrobasilar anastomosis. The aneurysm at the bifurcation of the internal carotid artery (ICA) and PPTA tends to have a broad neck with the branch incorporated into the sac. Because PPTA supplies to the posterior circulation and branches off direct pontine perforators, PPTA preservation should always be considered when treating PPTA aneurysms to avoid ischemic complications.We report a case of the wide-neck ICA-PPTA aneurysm successfully treated with the PulseRider-assisted coil embolization, resulting in complete occlusion with PPTA patency. Relevant anatomy and endovascular strategy of the PPTA aneurysms are discussed.

Keywords: Cerebral aneurysm; Coil embolization; Persistent primitive trigeminal artery; PulseRider.

Publication types

Case Reports

MeSH terms

Basilar Artery
Carotid Artery Diseases* / complications
Carotid Artery Diseases* / diagnostic imaging
Carotid Artery Diseases* / therapy
Carotid Artery, Internal / diagnostic imaging
Embolization, Therapeutic* / adverse effects
Humans
Intracranial Aneurysm* / complications
Intracranial Aneurysm* / diagnostic imaging
Intracranial Aneurysm* / therapy