Turkish Neurosurgery
Endovascular Treatment of Superior Cerebellar Artery Aneurysms
Vedat Acik1, Ergun Daglıoglu2, İlkay Akmangit3, Fatih Alagoz2, Bige Sayın 3, Anıl Arat4
1Adana City Training and Research Hospital, Neurosurgery, Adana,
2 Ankara Numune Training and Research Hospital, , Neurosurgery, Ankara,
3 Ankara Numune Training and Research Hospital, Radiology, Ankara,
4Haccetepe Universty, Radiology, Ankara,
DOI: 10.5137/1019-5149.JTN.24640-18.3
Aim: Superior cerebellar artery (SCA) aneurysms are uncommon. We present our results of SCA aneurysm embolization using current endovascular techniquesMaterial and Methods:All SCA aneurysms treated by our endovascular team since 2013 were retrospectively evaluated. Clinical information and angiographic findings on presentation, during treatment and on follow-up were notedResults: Endovascular treatment was the primary treatment method for SCA aneurysms during the study period. Twenty three patients (15 women, 12 with subarachnoid hemorrhage, mean age 50.6) with SCA aneurysms were treated. Treatments included coiling (%56), stent assisted coiling , stentriever assisted coiling , Y stent assisted coiling and flow diversion with either flow diverter placement or telescopic stenting . Two patients expired secondary to consequences of subarachnoid hemorrhage. The outcome of 1 patient was mRS 3 and the outcome of remaining 20 patients was mRS 0. The rates of aneurysm occlusion according to Raymond-Roy classification were: Class 1 in 11 patients, class 2 in 6 patients and class 3 in 2 patients on a mean follow-up of 15.3 months. Only one patient required retreatment Conclusion: Current endovascular techniques are able to address the high rate of recanalization and retreatment of SCA aneurysms which are currently the major drawbacks associated with primary coiling when compared with surgical treatment. It remains to be shown if use of these newer techniques are associated with increased risk of thromboembolic events.
Corresponding author : Ergun Daglıoglu