Endovascular treatment of a ruptured paraclinoid aneurysm of the carotid syphon achieved using endovascular stent and endosaccular coil placement.
We herein report a case of a ruptured superior hypophyseal aneurysm of the left supraclinoid carotid artery that could not be treated with a Guglielmi detachable coil (GDC), even in combination with a supporting nondetachable balloon. After an unsuccessful attempt at surgical clipping, treatment consisted of the placement of a stent over the neck of the aneurysm, advancement of a microcatheter through the stent mesh, and endosaccular embolization with a GDC. The late clinical outcome was excellent.
Wilms
G
G
Department of Radiology, University Hospitals, KU Leuven, Belgium.
van Calenbergh
F
F
Stockx
L
L
Demaerel
P
P
van Loon
J
J
Goffin
J
J
D000783:Aneurysm / Q000628:therapy*; D002340:Carotid Artery Diseases / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous; D015607:Stents