Mitsuhashi Takashi, Takeda Nobuaki, Oishi Hidenori, Arai Hajime
Department of Neurosurgery, Tamananbu Chiiki Hospital, Tokyo, Japan Department of Neurosurgery, Juntendo University, Faculty of Medicine, Tokyo, Japan
Department of Neurosurgery, Juntendo University, Faculty of Medicine, Tokyo, Japan Department of Neurosurgery, Kichijojiminami Hospital, Tokyo, Japan.
Interv Neuroradiol. 2015 Apr;21(2):171-4. doi: 10.1177/1591019915583000. Epub 2015 May 7.
A case of a patient with a ruptured true posterior communicating artery (PCoA) aneurysm is reported, who had been managed by early endovascular parent artery occlusion with coils. The small blister aneurysm was located at the proximal PCoA itself and directed superiorly. Postoperative course was uneventful. During 1-month follow-up, the patient recovered well and could care for herself. Aneurysms of the PCoA itself are very rare. As reported to date, surgical procedures would favor microsurgical clipping over endovascular coil embolization. Endovascular treatment may be a good alternative to surgical trapping for true PCoA blister aneurysm.
本文报道了一例真性后交通动脉（PCoA）动脉瘤破裂患者，该患者接受了早期血管内弹簧圈栓塞载瘤动脉治疗。小泡状动脉瘤位于PCoA近端本身，向上指向。术后过程顺利。在1个月的随访中，患者恢复良好，能够自理。PCoA本身的动脉瘤非常罕见。迄今为止的报道表明，外科手术更倾向于显微手术夹闭而非血管内弹簧圈栓塞。对于真性PCoA小泡状动脉瘤，血管内治疗可能是手术夹闭的一个良好替代方案。
