case_images: PMC3551501_01
case_images: Case 1: (a) Computerized tomography (CT) scan shows subarachnoid hemorrhage (SAH) (arrow) in the prepontine and sylvian fissures and (b) pre-procedure digital subtraction angiogram reveals saccular A1 aneurysm (arrow) on the right side
case_images: JCIS-2-75-g002.jpg
case_images: PMC3551501_01_JCIS-2-75-g002.jpg
case_images: F1
case_images: Digital Subtraction Angiography (DSA) showed the presence of A1saccular aneurysm on the right side [Figure 1 ab]. Microcatheter (Echelon-10, eV3) over microwire (Expedion 14, eV3) was navigated into the sac of the aneurysm [Figure 1 c, d, and e].
case_images: PMC3551501_02
case_images: (c) Microcatheter is shown positioned in the sac of the aneurysm (arrow) and (d) the post-procedure angiogram shows exclusion of the aneurysm (arrow) from the circulation with (e) the coil mass in the aneurysm (arrow)
case_images: JCIS-2-75-g003.jpg
case_images: PMC3551501_02_JCIS-2-75-g003.jpg
case_images: F2
case_images: CT scan [Figures 2a] showed hemorrhage in the left frontal lobe with intraventricular extension (Fischer Grade IV). DSA was done subsequently which revealed a bilobed ICA bifurcation aneurysm on the left side [Figure 2b]. After placement of the second coil and balloon deflation, a small loop of a previously detached coil was seen projecting into the parent vessel [Figure 2 c-f] on the check angiogram.