Dr. Vipul Gupta treated a patient with a fusiform aneurysm of the supraclinoid internal carotid artery and a smaller aneurysm on the right anterior cerebral artery. Images A and B show the aneurysms prior to treatment. The doctor used a pipeline embolization device to treat the aneurysms. Follow-up images C and D taken later show complete occlusion of the carotid aneurysms with minimal filling of the anterior cerebral artery, indicating successful treatment.

1. Dr Vipul Gupta
Medanta-The Medicity

2. A & B – 3D reconstructed images show a fusiform
aneurysm of supraclinoid ICA at the level of PCOM
with a prominent ventral bulge (arrow, A). Another
very small aneurysmal bulge seen from A1 segment of
right ACA (arrowheads, A, B). Small aneurysm also
seen in right ICA paraclinoidal segment pointing
B
C
A

3. D
E F
. D- Pipeline reconstruction device. E- native image
showing good opposition of the flow diverter to the
arterial wall. F- Post stenting DSA shows persistent filling
of the aneurysm.

4. BA
Follow-ip angiogram. A- DSA shows
complete occlusion of the fusiform
aneurysm. Minimal filling of left ACA seen.
B- Native image of DSA shows intimal
growth over the stent.

5. C D
C & D – 3D reconstructed images shows
complete occlusion of the ICA aneurysms with
minimal opacification of ACA.
C & D – 3D reconstructed images shows complete occlusion
of the ICA aneurysms with minimal opacification of ACA.
https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular
Stroke and Neurovascular
Interventions Foundation
www.sanif.co.in
C D

6. C D
C & D – 3D reconstructed images shows
complete occlusion of the ICA aneurysms with
minimal opacification of ACA.
C & D – 3D reconstructed images shows complete occlusion
of the ICA aneurysms with minimal opacification of ACA.
https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular
Stroke and Neurovascular
Interventions Foundation
www.sanif.co.in
C D