case_images: PMC10481857_01
case_images: Cerebral angiography showing a wide-necked aneurysm measuring 8.1 mm x 6.1 mm; neck, 5.7 mm, at the BA tip. (a and b) The aneurysm is strongly tilted to the right and posterior relative to the BA, and the bilateral PCA and SCA diverge from the aneurysm body. BA: Basilar artery, PCA: Posterior cerebral artery, and SCA: Superior cerebellar artery.
case_images: SNI-14-300-g001.jpg
case_images: PMC10481857_01_SNI-14-300-g001.jpg
case_images: F1
case_images: The aneurysm was strongly tilted to the right and posterior relative to the BA, and the bilateral posterior cerebral artery (PCA) and superior cerebellar artery (SCA) diverged from the aneurysm body [Figures 1a and b].
case_images: (a) A PulseRider (10Y/2.7-3.5) is deployed in a hybrid fashion with the right arch in the aneurysm and the left arch in the PCA as planned. (b) The aneurysm neck is covered by PulseRider, and the barrel view shows no deviation of the coil into the parent artery (arrowhead). (c) A cerebral angiography immediately after treatment showing slight dome filling, and bilateral PCA and SCA blood flow is normal. (d) A cerebral angiography 6 months after the treatment showing that the embolic status had improved to complete occlusion. PCA: Posterior cerebral artery and SCA: Superior cerebellar artery.
case_images: SNI-14-300-g002.jpg
case_images: PMC10481857_01_SNI-14-300-g002.jpg
case_images: F2
case_images: Although somewhat difficult, a PulseRider (10Y/2.7-3.5, Cerenovus, New Brunswick, NJ, USA) was deployed in a hybrid fashion as planned [Figure 2a]. The aneurysm neck was covered by the PulseRider, and the barrel view showed no deviation of the coil into the parent artery [Figure 2b]. Cerebral angiography immediately after treatment showed slight dome filling [Figure 2c], and bilateral PCA and SCA blood flow was normal. Cerebral angiography 6 months after the treatment showed that the embolic status had improved to complete occlusion [Figure 2d].