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Volume 92, Pages 521-532 (August 2016) Posterior Cerebral Artery Aneurysms: Treatment and Outcome Analysis in 121 Patients  Felix Goehre, Behnam Rezai.

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Presentation on theme: "Volume 92, Pages 521-532 (August 2016) Posterior Cerebral Artery Aneurysms: Treatment and Outcome Analysis in 121 Patients  Felix Goehre, Behnam Rezai."— Presentation transcript:

1 Volume 92, Pages 521-532 (August 2016)
Posterior Cerebral Artery Aneurysms: Treatment and Outcome Analysis in 121 Patients  Felix Goehre, Behnam Rezai Jahromi, Martin Lehecka, Hanna Lehto, Riku Kivisaari, Hugo Andrade-Barazarte, Tarik F. Ibrahim, Richard Gonzalo Párraga, Christopher Ludtka, Hans Jörg Meisel, Timo Koivisto, Mikael von und zu Fraunberg, Mika Niemelä, Juha E. Jääskeläinen, Juha A. Hernesniemi  World Neurosurgery  Volume 92, Pages (August 2016) DOI: /j.wneu Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Figure 1 The posterior cerebral artery and its segments.
World Neurosurgery  , DOI: ( /j.wneu ) Copyright © 2016 Elsevier Inc. Terms and Conditions

3 Figure 2 Coronal computed tomography (A, coronal) shows severe subarachnoid hemorrhage accompanied by intraventricular hemorrhage. The computed tomography angiography (B, coronal) shows that the bleeding was caused by the rupture of a large left-sided posterior cerebral artery P1/2 junction aneurysm (arrow). The outcome in the presented case was fatal. World Neurosurgery  , DOI: ( /j.wneu ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 Figure 3 Preoperative computed tomography angiography (A, axial) shows a nonruptured right-sided posterior cerebral artery P3 segment aneurysm (rightward arrow). The aneurysm was exposed from a right posterior interhemispheric approach and occluded with a Yasargil miniclip (arrow), preserving the parent vessel under direct visual control under high magnification (B). The postoperative computed tomography angiography (C, axial) shows patency of posterior cerebral artery branches distal from the clip occluded aneurysm (rightward arrow). Associated anterior cerebral artery aneurysms are apparent in the angiographic images (leftward interrupted arrows). World Neurosurgery  , DOI: ( /j.wneu ) Copyright © 2016 Elsevier Inc. Terms and Conditions

5 Figure 4 Computed tomography (A, axial) show a subarachnoid hemorrhage with intraventricular bleeding. The lateral view of digital subtraction angiography (B, left internal carotid injection) shows a fetal-type posterior cerebral artery carrying a posterior cerebral artery P3 segment aneurysm. The aneurysm was treated by coil occlusion of the aneurysm together with the parent artery (C). The postoperative computed tomography (D, axial) shows a right-side posterior cerebral artery infarction (arrows). World Neurosurgery  , DOI: ( /j.wneu ) Copyright © 2016 Elsevier Inc. Terms and Conditions

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