A Patient with Eight Intracranial Aneurysms: Endovascular Treatment in Two Sessions

Figure 2

The 9th-month follow-up DSA ((a), (b), and (c)) images show total closure of the aneurysms of the left ICA lacerum segment (a) and the cavernous segment (a), the left anterior choroidal artery (black arrow, (a)), the middle cerebral artery (white arrow, (a)), the basilar tip (b), the anterior communicating artery (black arrow, (c)), and the right ICA ophthalmic segment (white arrow, (c)). The intimal hyperplasia inside the stents seen in the 3rd-month follow-up angiograms (not shown here) was totally relieved. The coils and stents used for the treatment of the aneurysms are seen in the fluoroscopic image (d). A slight fusiform dilation and no in-stent stenosis are seen in the left ICA cervical segment dissection, which was treated with a carotid Wallstent (black dashed arrows, (a)). The 3rd-month DSA (not shown here) showed a slight narrowing, due to the fish mouth or foreshortening effect, inside the distal part of the Surpass stent used for the right ophthalmic segment aneurysms. The 9th-month follow-up DSA (c) showed no change (black dashed arrow, (c)) and no intimal hyperplasia.

(a)

(b)

(c)

(d)