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A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B.

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Presentation on theme: "A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B."— Presentation transcript:

1 A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B and C, Left ICA angiogram after complete embolization of both MCA aneurysms.D, Left ICA angiogram 4 days... A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B and C, Left ICA angiogram after complete embolization of both MCA aneurysms.D, Left ICA angiogram 4 days after coil embolization demonstrating severe vasospasms at the distal ICA and proximal MCA.E, After successful balloon dilation of the ICA and proximal MCA by using a 3-mm balloon occlusion system.F and G, Six-month follow-up showing partial recanalization of both aneurysms as a result of coil compaction (arrowhead at distal MCA aneurysm).H and I, Left ICA angiogram after retreatment showing complete occlusion of both MCA aneurysms (arrowhead at distal MCA aneurysm). A. Doerfler et al. AJNR Am J Neuroradiol 2006;27: ©2006 by American Society of Neuroradiology

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