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Three-dimensional reconstruction of right internal carotid artery (ICA) demonstrating a multilobulated wide-necked saccular aneurysm (arrow) at the pericallosal-callosal marginal branch point (A2-A3 branch point).
Source publication
BACKGROUND
PulseRider is an endovascular device that can be a useful adjunctive device for wide-necked bifurcation aneurysms. However, its use in distal vessels such as the anterior cerebral artery (ACA) has not been widely reported.
OBSERVATIONS
The authors reported the case of a 75-year-old woman who underwent coiling of a 6.9-mm distal ACA aneu...
Context in source publication
Context 1
... revealed a right-sided, wide-necked ACA aneurysm (6.9 Â 6.7 Â 6.0 mm). Digital subtraction angiography further showed that the aneurysm was at the branch point of the right pericallosal and callosomarginal arteries, projecting superiorly and anteriorly with a 2.5-mm neck and a dome-to-neck ratio of 2.7 (Fig. 1). The aneurysm was considered suitable for treatment because of its moderate size and risk of rupture (PHASES [population, hypertension, age, size of aneurysm, earlier subarachnoid hemorrhage, site of aneurysm] score of 6). The patient elected for endovascular treatment and was premedicated with 7 days of preprocedural dual antiplatelet ...
