Table 1.
Characteristics of four patients with ruptured VA dissecting aneurysm involving the PICA origin
| Case | Age | Sex | H&H grade | Side | Previous treatment | Treatment | Treatment day post SAH (Days) | Procedural complication | Post-procedural ischemic lesion | Graft patency | Aneurysm obliteration | mRS 3 months | Rebleeding | Follow-up period (year) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 43 | M | III | Lt. | Lt. VA proximal occlusion with coil | Lt. OA-PICA anastomosis, Lt. PICA origin clip ligation | 191 | None | None | Good | Complete | 1 | – | 14 |
| 2 | 52 | M | I | Rt. | None | Rt. OA-PICA anastomosis, Rt. PICA origin clip ligation, Rt. VA proximal clip ligation | 14 | None | None | Good | Complete | 0 | – | 10 |
| 3 | 60 | M | IV | Lt. | None | Lt. OA-PICA anastomosis, Lt. PICA origin clip ligation, Lt. VA proximal clip ligation | 2 | None | None | Good | Complete | 3 | – | 3 |
| 4 | 54 | M | IV | Rt. | None | Rt. OA-PICA anastomosis, Rt. PICA origin clip ligation, Rt. VA proximal clip ligation | 14 | None | None | Good | Complete | 4 | – | 1 |
F: female, H&H: Hunt and Hess grade, lt.: left, M: male, mRS: modified Rankin Scale, OA: occipital artery, PICA: posterior inferior cerebellar artery, rt.: right, SAH: subarachnoid hemorrhage, VA: vertebral artery.