Thursday, July 3, 2014

Endovascular treatment of a complex bilobed left superior hypophyseal internal carotid artery aneurysm: a case illustration

Endovascular treatment of a complex bilobed left superior hypophyseal internal carotid artery aneurysm: a case illustration
Journal of Neurosurgery: Neurosurgical FOCUS: Table of Contents

Neurosurgical Focus, Volume 37, Issue V1Supplement, Page 1-1, July 2014.
We report the case of a 62-year-old female who presented for stent-assistant coiling of an incidental 11-mm complex bilobed left superior hypophyseal internal carotid artery aneurysm. A microcatheter was navigated into the aneurysm and trapped by a 37-mm stent. Using three-dimensional and two-dimensional coils, the elongated aneurysm was coiled. The bigger lobe was coiled first followed by the smaller lobe. Minimal residual filling of the smaller lobe will be re-evaluated at 6-month follow up. The patient tolerated the procedure well and no complications were encountered. The video can be found here: http://youtu.be/TrXfsaICQVo.

Original Article: http://thejns.org/doi/abs/10.3171/2014.V2.FOCUS14197?ai=rw&mi=3ba5z2&af=R

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