title: Endovascular treatment of a complex bilobed left superior hypophyseal internal carotid artery aneurysm: a case illustration.
abstract: We report the case of a 62-year-old female who presented for stent-assistant coiling of an incidental 11-mm complex bilobed left superior hypophyseal internal carotid artery aneurysm. A microcatheter was navigated into the aneurysm and trapped by a 37-mm stent. Using three-dimensional and two-dimensional coils, the elongated aneurysm was coiled. The bigger lobe was coiled first followed by the smaller lobe. Minimal residual filling of the smaller lobe will be re-evaluated at 6-month follow up. The patient tolerated the procedure well and no complications were encountered. The video can be found here: http://youtu.be/TrXfsaICQVo .
authors.affiliation: Departments of Neurological Surgery.
authors.forename: Youssef J
authors.initials: YJ
authors.lastname: Hamade
authors.forename: Najib E
authors.initials: NE
authors.lastname: El Tecle
authors.forename: Samer G
authors.initials: SG
authors.lastname: Zammar
authors.forename: Tarek Y
authors.initials: TY
authors.lastname: El Ahmadieh
authors.forename: Byron K
authors.initials: BK
authors.lastname: Yip
authors.forename: Bernard R
authors.initials: BR
authors.lastname: Bendok
mesh_terms: D002340:Carotid Artery Diseases / Q000628:therapy*; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008875:Middle Aged; D010902:Pituitary Gland; D015607:Stents
keywords: aneurysm; coiling; endovascular; stent; video