Table 1

Patients with VA aneurysm who underwent PED placement with stent covering branch vessel

PatientPresentationAneurysm size, morphologyAneurysm location relative to PICA ostiaRight or left VAVA dominanceLocation of distal end of PED relative to VBJCovered branchesPED size (mm)Pre-procedure P2Y12 (PRU)Last angiographyOutcome
1Headache, facial pain7 mm, saccularDistalRightCodominantProximalPICA4×12761 yearAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
2Headache, facial pain7 mm, saccularInvolved PICA ostiaRightRightProximalPICA4.5×12386 monthsAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
3Jaw pain and numbness, concomitant dental abscess4 mm, fusiform, dissectingProximalRightLeftProximalPICA5×1461 yearAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
4Headache, retro-orbital eye pain7 mm, fusiform dissectingInvolved PICA ostiaRightRightProximalPICA5×181106 monthsAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
5Incidental; concomitant left carotid artery dissection7 mm, fusiform dissectingProximalRightCodominantProximalPICA3.75×20796 monthsAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
6Headache and neck pain after blunt head trauma10 mm and 5 mm, fusiform, dissectingDistalRightCodominantProximalPICA, ASA4.25×251306 monthsAneurysm occluded, covered PICA and ASA patent, no in-stent stenosis or endoleak
7Hunt and Hess grade 4, subarachnoid hemorrhage5 mm, fusiform, dissectingProximalRightCodominantProximalPICA3.75×20Not obtained, abciximab given3 weeksAneurysm occluded, covered PICA patent, no in-stent stenosis or endoleak
8Hunt and Hess grade 4, subarachnoid hemorrhage17 mm, fusiform, dissectingInvolved PICA ostiaRightRightDistalPICA, contralateral VA3.25×20, 3.25×20 (2 total)Not obtained, abciximab given6 monthsProcedure complicated by in-stent thrombosis and PICA occlusion, treated with abciximab with recanalization. Aneurysm occluded after 5 months, covered PICA patent, no in-stent stenosis or endoleak; contralateral VA occluded distal to PICA
9Neck pain, nausea5 mm, fusiform, dissectingDistalLeftCodominantProximalPICA3.5×1840Awaiting follow-upCovered PICA patent
10Headache, nausea18 mm, fusiform, dissectingDistalRightCodominantProximalPICA4.5×35132Awaiting follow-upCovered PICA patent
11PICA stroke, ataxia, dysphagia, vertigo10 mm, fusiform, dissectingInvolved PICA ostiaRightCodominantProximalPICA4.25×2087Awaiting follow-upCovered PICA patent
  • ASA, anterior spinal artery; PED, Pipeline embolization device; PICA, posterior inferior communicating artery; PRU, P2Y12 reaction unit; VA, vertebral artery; VBJ, vertebrobasilar junction.