Endovascular treatment of XXXX : report of 11 cases.

@entity1 @entity548 @entity510 @entity439 @entity5487 @entity432
OBJECTIVE: To investigate the clinical characteristics and endovascular treatment of @entity5487 (PICA) @entity439 . METHODS: 11 consecutive @entity1 (7 @entity1 , 4 @entity1 , mean age of 49.2 years) with @entity5487 were studied retrospectively. All had onset of acute intraventricular or @entity548 , and @entity510 ( @entity510 ). Hunt-Hess (HH) grades were H-H I in 1 @entity1 , H-H II in 5 @entity1 , H-H 111 in 4 @entity1 and H-H IV in 1 @entity1 on admission. RESULTS: All @entity1 were treated by endovascular treatment, seven cases got endosaccular coiling and four cases got parent @entity432 at the same time. All the @entity1 were followed up one to four years. Recurrences occurred in 1 @entity1 two years post-treatment, and were successfully retreated by endosaccular coiling and parent @entity432 . The occluded PICA was recanalized one year post-treatment but without any growth of the @entity439 in one case. One year post-treatment, 2 @entity1 had a modified Rankin Scale (mRS) score of 0, 8 @entity1 had a mRS score of 1 and 1 @entity1 had a mRS score of 2. CONCLUSIONS: Coiling of ruptured distal PICA aneury, with or without parent vessel occlusion, was feasible, relatively safe and effective in preventing early/medium-term rebleeding. A strict angiographic follow-up, however, was necessary to detect recurrence.
