Neurol India Close
 

Figure 1: Three dimensional reconstruction (a) of the right ICA in anteroposterior view demonstrated a posterior communicating artery aneurysm. The Neuroform stent delivery system was brought up over the exchange microguidewire to cross the aneurysm neck. The stent was partly deployed to narrow the aneurysm neck after aneurysm catheterization (b). After the first coil was placed, the stent was fully deployed (c). Postprocedure angiogram (d) revealed complete occlusion. Thirteen-month follow-up angiogram of right common carotid artery (e) revealed high-grade stenosis within the stented segment of right ICA. Contralateral common carotid artery angiogram (f) revealed good compensation via the circle of Willis. Superselective angiogram (g) demonstrated that right ICA was not completely occlusive. Then, balloon angioplasty of the right ICA was performed (h). Postangioplasty control angiography demonstrated substantial improvement in the caliber, but flow to right cerebral anterior artery was still delayed (i).

Figure 1: Three dimensional reconstruction (a) of the right ICA in anteroposterior view demonstrated a posterior communicating artery aneurysm. The Neuroform stent delivery system was brought up over the exchange microguidewire to cross the aneurysm neck. The stent was partly deployed to narrow the aneurysm neck after aneurysm catheterization (b). After the first coil was placed, the stent was fully deployed (c). Postprocedure angiogram (d) revealed complete occlusion. Thirteen-month follow-up angiogram of right common carotid artery (e) revealed high-grade stenosis within the stented segment of right ICA. Contralateral common carotid artery angiogram (f) revealed good compensation via the circle of Willis. Superselective angiogram (g) demonstrated that right ICA was not completely occlusive. Then, balloon angioplasty of the right ICA was performed (h). Postangioplasty control angiography demonstrated substantial improvement in the caliber, but flow to right cerebral anterior artery was still delayed (i).