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Case Report| Volume 32, ISSUE 2, 106876, February 2023

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

Published:December 02, 2022DOI:https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106876
PulseRider-assisted coil embolization for an unruptured internal carotid artery–persistent primitive trigeminal artery aneurysm
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      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.

      Key Words

      Abbreviations:

      PPTA (persistent primitive trigeminal artery)
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      Article info

      Publication history

      Published online: December 02, 2022
      Accepted: November 4, 2022
      Received in revised form: October 18, 2022
      Received: June 2, 2022

      Identification

      DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106876

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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