Skip Navigation LinksHome > June 2013 - Volume 72 - Issue 6 > Treatment of Posterior Circulation Aneurysms With the Pipeli...
doi: 10.1227/NEU.0b013e31828ba984
Research-Human-Clinical Studies

Treatment of Posterior Circulation Aneurysms With the Pipeline Embolization Device

Chalouhi, Nohra MD; Tjoumakaris, Stavropoula MD; Dumont, Aaron S. MD; Gonzalez, L. Fernando MD; Randazzo, Ciro MD; Starke, Robert M. MD; Rosenwasser, Robert H. MD; Jabbour, Pascal MD

Collapse Box


BACKGROUND: Treatment of complex intracranial aneurysms with the pipeline embolization device (PED) has become common practice in neurovascular centers. Very few studies have assessed the safety and efficacy of PED treatment for posterior circulation aneurysms.

OBJECTIVE: To retrospectively present our experience with use of the PED in the posterior circulation.

METHODS: A total of 7 patients harboring 7 posterior circulation aneurysms were treated with the PED at our institution between November 2011 and July 2012.

RESULTS: Aneurysm size was 14.1 mm on average. All patients had unruptured aneurysms. Three aneurysms arose from the vertebral artery, 2 from the basilar artery, and 2 from the vertebrobasilar junction. A single stent was used in 4 patients, 2 stents in 2 patients, and 3 stents in 1 patient. Treatment was successful in all 7 patients. No procedural complications or perforator infarcts were noted in the series. No patient experienced new neurological symptoms related to PED treatment during the follow-up period. Angiographic follow-up was available for 6 patients at a mean time point of 5.5 months. Follow-up angiography showed 100% aneurysm occlusion in 3 patients, marked decrease in aneurysm size in 2 patients, and no change in 1 patient.

CONCLUSION: In our initial experience, it appears that PED treatment in select patients with vertebrobasilar aneurysms may have a reasonable safety-efficacy profile. Larger studies are needed to confirm our findings.

ABBREVIATIONS: PED, pipeline embolization device

PICA, posterior inferior cerebellar artery

Copyright © by the Congress of Neurological Surgeons


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.