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Dissecting MCA Aneurysm

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Dissecting MCA Aneurysm

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Dissecting MCA Aneurysm

  1. 1. Dr Vipul Gupta Medanta-The Medicity Gurgaon, India
  2. 2. A B Fig. 1 A & B – DSA (A) with 3D reconstruction (B) shows a fusiform aneurysm involving left MCA bifurcation particularly the lower division. Dissecting MCA Aneurysm
  3. 3. C & D - Road map images showing a micro catheter being navigated to lower division of MCA. E – Stent deployment in lower division of MCA. F- DSA after coil placement showing almost complete occlusion. C D E F
  4. 4. A B C D Fig. 2 A- Follow-up Angiogram revealing growth of residual aneurysm. B & C – 3D angiography. B – overlap of coil mass (orange) and the recurrent aneurysm seen. C- By changing the angulation the neck of the recurrent aneurysm could be profiled. D – Road map image showing tip of coiling microcatheter at the neck of the aneurysm.
  5. 5. E E – Post coiling angiogram showing complete occlusion. F – Native image showing the coil mass. F https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular Stroke and Neurovascular Interventions Foundation www.sanif.co.in
  6. 6. E E – Post coiling angiogram showing complete occlusion. F – Native image showing the coil mass. F https://www.facebook.com/strokeawarenessindi Channel: Stroke & Neurovascular Stroke and Neurovascular Interventions Foundation www.sanif.co.in

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