![]() Surgery showed more favorable clinical outcome (mean mRS, 2.63 for EVT vs 0.33 for surgery, P = 0.023) and lower procedure-related complication rate (42.9% for EVT vs 0% for surgery, P = 0.046) than EVT.Ĭonclusions:For the treatment of ruptured PICA aneurysms, EVT seemed to have more favorable outcomes for proximal segment, while surgery showed more favorable outcomes for distal segment. Of the 13 distal PICA aneurysms, 7 aneurysms were treated with EVT and 6 were treated with surgery. EVT seemed to have more favorable clinical outcome (mRS 0–2 mean mRS, 1.75 for EVT vs 3.50 for surgery, P = 0.152). Of the 26 proximal PICA aneurysms, 20 aneurysms were treated with EVT and 6 aneurysms were treated with surgery. Results:We collected 39 consecutive patients with 39 ruptured PICA aneurysms 26 patients were with proximal segment aneurysm and 13 patients were with distal. ![]() Methods:We retrospectively analyzed clinical and radiological data of patients with ruptured PICA aneurysms who underwent surgery or EVT from three different institutes. ![]() Mary’s Hospital, The Catholic University of Korea, Seoul, Republic of KoreaĭOI:10.4103/sni.sni_132_16Copyright: © 2017 Surgical Neurology International This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.īackground:The aim of this study was to evaluate the clinical outcomes between endovascular treatment (EVT) and surgery of the ruptured posterior inferior cerebellar artery (PICA) aneurysms and suggest proper management strategies according to the PICA segment. Mary’s Hospital, The Catholic University of Korea, Seoul, Republic of Koreaĭepartment of Neurosurgery, College of Medicine, Seoul St. Department of Neurosurgery, College of Medicine, Seoul St.Department of Neurosurgery, The Ajou University School of Medicine, Ajou University Hospital, Suwon, Republic of Korea.Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.Department of Neurosurgery, Hankook Hospital, Cheongju, Republic of Korea.Department of Neurosurgery, Konyang College of Medicine, Konyang University Hospital, Daejeon, Republic of Korea. ![]() Article Type: Jihye Song, Jung Eon Park, Joonho Chung, Yong Chul Lim, Yong Sam Shin ![]()
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