A, Lateral angiogram obtained before treatment shows a right ruptured dissecting ICA aneurysm.B, 4 × 9 mm Jomed covered stent placed across the aneurysm.

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Ruptured PICA aneurysm in a 62-year-old man presenting in poor clinical condition. Ruptured PICA aneurysm in a 62-year-old man presenting in poor clinical.

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Presentation transcript:

A, Lateral angiogram obtained before treatment shows a right ruptured dissecting ICA aneurysm.B, 4 × 9 mm Jomed covered stent placed across the aneurysm neck with the support of a long reinforced Arrow sheath in the proximal petrous (straight arrow) and a 6... A, Lateral angiogram obtained before treatment shows a right ruptured dissecting ICA aneurysm.B, 4 × 9 mm Jomed covered stent placed across the aneurysm neck with the support of a long reinforced Arrow sheath in the proximal petrous (straight arrow) and a 6-French Envoy guiding catheter in the distal petrous ICA (arrowhead). Extreme care was taken not to cover the anterior choroidal artery origin with the graft (curved arrow).C, Post-treatment lateral view shows exclusion of the aneurysm and the reconstructed internal carotid artery. Isil Saatci et al. AJNR Am J Neuroradiol 2004;25:1742-1749 ©2004 by American Society of Neuroradiology