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Figure 2: (a) A 40-year old female patient admitted with subarachnoid hemorrhage was noted to have a dissecting aneurysm involving the V4 segment of the left vertebral artery. (b) The three-dimensional rotational angiography showing the left V4 vertebral artery dissecting aneurysm; note the origin of left PICA proximal to the aneurysm along with a non-dominant contralateral vertebral artery. (c) Microcatheter with a few coil loops were deployed within the aneurysm sac prior to deployment of a laser cut stent. (d and e) Multiple small coils were deposited and were followed by deployment of a second laser cut stent within the previous one. Note the circumferential coils around the stent. (f) On follow up, complete occlusion of the aneurysm sac occurred along with straightening of the V4 segment of the vertebral artery

Figure 2: (a) A 40-year old female patient admitted with subarachnoid hemorrhage was noted to have a dissecting aneurysm involving the V4 segment of the left vertebral artery. (b) The three-dimensional rotational angiography showing the left V4 vertebral artery dissecting aneurysm; note the origin of left PICA proximal to the aneurysm along with a non-dominant contralateral vertebral artery. (c) Microcatheter with a few coil loops were deployed within the aneurysm sac prior to deployment of a laser cut stent. (d and e) Multiple small coils were deposited and were followed by deployment of a second laser cut stent within the previous one. Note the circumferential coils around the stent. (f) On follow up, complete occlusion of the aneurysm sac occurred along with straightening of the V4 segment of the vertebral artery