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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates


Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Management of Anterior Inferior Cerebellar Artery Aneurysms: Endovascular Treatment and Clinical Outcome

S.H. Suh, D.J. Kim, D.I. Kim, B.M. Kim, T.-S. Chung, C.K. Hong and J.Y. Jung
American Journal of Neuroradiology January 2011, 32 (1) 159-164; DOI: https://doi.org/10.3174/ajnr.A2360
S.H. Suh
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D.J. Kim
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D.I. Kim
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B.M. Kim
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T.-S. Chung
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C.K. Hong
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J.Y. Jung
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    Fig 1.

    A 46-year-old woman with a proximal AICA aneurysm. A, Left VA angiogram reveals a large saccular aneurysm just after the bifurcation of the left AICA-PICA variant, which is located at the proximal PICA branch (white arrow). B, Fluoroscopic image shows the deployment of the Enterprise stent (white arrows) after coil embolization of the ruptured aneurysm. C, The right VA angiogram shows complete occlusion of the aneurysm with preservation of the parent artery immediately after embolization. D, Follow-up angiogram depicts good patency of the left AICA, with complete occlusion 10 months after the procedure.

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    Fig 2.

    A 72-year-old woman with a proximal AICA aneurysm, which originated from the AICA-PICA variant. A, Right VA angiogram reveals a wide-neck saccular aneurysm on the proximal right AICA-PICA variant. B, The right VA angiogram confirms partial occlusion of the aneurysm with preservation of the AICA-PICA variant immediately after embolization. C, The follow-up angiogram shows residual neck filling of the aneurysm with minimal coil compaction 12 months later.

Tables

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  • Characteristics of patients with AICA aneurysms

    NoSex/ Age (yr)PresentationHHLocationSize (mm)Associated ConditionTxResultCxmRSFollow-Up Angiography (mo)AICAF/U (mo)
    1F/67SAHIIIProximal4 × 3 × 3AICA-PICA variantCoil/EVDPartialNone1IO (24)P36
    2M/28SAHIProximal8 × 5 × 5Moyamoya diseaseCoilPartialNone1NAP–
    3M/41IncidentalProximal9 × 7 × 7AVMCoilCompleteNone1CO (24)P120
    4aM/46SAHIVDistal5 × 4 × 3Surgical trappingCerebellar infarct2NAO–
    5aF/73SAHIIIDistal3 × 2.5 × 3Spontaneous occlusionTIA0CO (24)O24
    6F/71SAHIVProximal4 × 3 × 3AICA-PICA variantCoil/EVDCompleteNone0CO (24)P42
    7M/66IncidentalProximal3 × 3 × 3AICA-PICA variantCoil/stent (4 × 20)CompleteNone0CO (20)P20
    8F/72IncidentalProximal8 × 7 × 7AICA-PICA variantCoil stent (4 × 15)PartialNone0IO (12)P30
    9F/46SAHIVProximal15 × 10 × 10AICA-PICA variantCoil/stent (4 × 14)/EVDCompleteNone1CO (10)P10
    • a Endovascularly failed case.

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American Journal of Neuroradiology: 32 (1)
American Journal of Neuroradiology
Vol. 32, Issue 1
1 Jan 2011
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Management of Anterior Inferior Cerebellar Artery Aneurysms: Endovascular Treatment and Clinical Outcome
S.H. Suh, D.J. Kim, D.I. Kim, B.M. Kim, T.-S. Chung, C.K. Hong, J.Y. Jung
American Journal of Neuroradiology Jan 2011, 32 (1) 159-164; DOI: 10.3174/ajnr.A2360
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Cite this article
S.H. Suh, D.J. Kim, D.I. Kim, B.M. Kim, T.-S. Chung, C.K. Hong, J.Y. Jung
Management of Anterior Inferior Cerebellar Artery Aneurysms: Endovascular Treatment and Clinical Outcome
American Journal of Neuroradiology Jan 2011, 32 (1) 159-164; DOI: 10.3174/ajnr.A2360

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