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Table of Contents    
CORRESPONDENCE
Year : 2014  |  Volume : 62  |  Issue : 4  |  Page : 476

Endovascular treatment of ruptured proximal PICA aneurysms: A single-center 5-year experience


1 Medical Center, Shantou, China
2 Visiting Professor, Hainan Medical University, China

Date of Web Publication19-Sep-2014

Correspondence Address:
Sim Sai Tin
Medical Center, Shantou
China
Sim Sai Tin
Medical Center, Shantou
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.141302

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How to cite this article:
Tin SS, Wiwanitkit V, Tin SS, Wiwanitkit V. Endovascular treatment of ruptured proximal PICA aneurysms: A single-center 5-year experience . Neurol India 2014;62:476

How to cite this URL:
Tin SS, Wiwanitkit V, Tin SS, Wiwanitkit V. Endovascular treatment of ruptured proximal PICA aneurysms: A single-center 5-year experience . Neurol India [serial online] 2014 [cited 2019 Aug 19];62:476. Available from: http://www.neurologyindia.com/text.asp?2014/62/4/476/141302


Sir,

Gupta et al. reported their experience on "endovascular treatment of ruptured proximal pica aneurysms" and concluded that "endovascular therapy of ruptured proximal PICA aneurysms is possible and safe with the use of adjuvant devices and should be considered as first line treatment. [1]" The interesting question is whether endovascular therapy is appropriate as first-line treatment. In fact, many studies confirmed that endovascular treatment is possible and safe. However, the good treatment plan is required. [2] In addition, in another recent report from India, the problem of recurrence and re-treatment was noted. Chalouhi et al. proposed for "careful angiographic follow-up. [3] Based on the report from China, the endovascular treatment is safe but it is not superior to surgical clipping. [4] To conclude that the endovascular treatment can be the first-line alternative, there should be more supportive evidence including its cost effectiveness comparing to other available methods.

 
  References Top

1.Gupta V, Mulimani N, Kumar A, Ahuja C, Mathuria SN, Khandelwal N. Endovascular treatment of ruptured proximal pica aneurysms: A single-center 5-years experience. Neurol India 2014;62:269-75.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Shin HS, Lee SH, Koh JS. Endovascular treatment of ruptured distal posterior inferior cerebellar artery aneurysm. Report of two exemplary cases and retrospective analysis of 11 cases. J Neurol Surg A Cent Eur Neurosurg 2014;75:343-9.  Back to cited text no. 2
    
3.Chalouhi N, Jabbour P, Starke RM, Tjoumakaris SI, Gonzalez LF, Witte S, et al. Endovascular treatment of proximal and distal posterior inferior cerebellar artery aneurysms. J Neurosurg 2013;118:991-9.  Back to cited text no. 3
    
4.Lin RS, Wang W, Guo A. Management of distal posterior inferior cerebellar artery aneurysms. J Craniofac Surg 2012;23:1388-90.  Back to cited text no. 4
    




 

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