The Aneurysm Casebook

Table of Contents

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   Book Overview
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   Chapter 3 Basilar Artery Bifurcation Aneurysm: Acute SAH, Ruptured Wide Neck Basilar Bifurcation Aneurysm, Coil Occlusion Assisted by Crossing Solitaire Stents, Symptomatic Vasospasm, Intra-arterial Nimodipine Infusion, Poor Clinical Outcome
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   Chapter 4 Posterior Inferior Cerebellar Artery Aneurysm: Incidental Wide-Neck Aneurysm, Incorporation of the PICA, and Treatment with a Single 3D Coil and a p64 Flow Diverter
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   Chapter 5 Middle Cerebral Artery Bifurcation Aneurysm: Acute SAH, Ruptured MCA Trifurcation Aneurysm, Coil Occlusion Using Dual Microcatheter Technique
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   Chapter 6 Supraclinoid Internal Carotid Artery Aneurysm: Giant Supraclinoid Internal Carotid Artery Aneurysm, Treatment with Extra-Intracranial Bypass and Parent Artery Occlusion
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   Chapter 7 Basilar Artery Bifurcation Aneurysm: Acute SAH, Ruptured Wide Neck Basilar Bifurcation Aneurysm, Medina and Coil Occlusion Assisted by pCONUS2, Early Interruption of Antiaggregation Without Sequelae
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   Chapter 8 Basilar Artery Bifurcation Aneurysm: Recurrence and Significant Growth After Stent-Assisted Coil Occlusion, Hemodynamic Treatment Using pCANVAS and Medina Embolization Devices
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   Chapter 9 Anterior Cerebral Artery (A1 Segment) Aneurysm: The eCLIPs Endovascular Clip System, a Novel Flow Diversion Approach to Managing Intracranial Aneurysms Arising from Arterial Bifurcations
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   Chapter 10 Posterior Inferior Cerebellar Artery Aneurysm: Subarachnoid Hemorrhage after a Minor Trauma, Fusiform Dissecting Aneurysm, Treatment with a p64 Flow Diverter
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    Chapter 11 Posterior Communicating Artery Aneurysm: Giant Aneurysm of the Internal Carotid Artery, Acute SAH, Ruptured Wide Neck Aneurysm, Incorporation of the Fetal Origin of the Posterior Cerebral Artery, Coil Occlusion, Secondary Treatment of the Neck Remnant with a Single Derivo Flow Diverter, Intra-procedural Thrombosis, Intra-arterial Eptifibatide Infusion, Good Clinical Outcome
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    Chapter 12 Internal Carotid Artery Bifurcation Aneurysm: Large Wide-Necked Bifurcation Aneurysm; Stent-Assisted Coiling Technique Using a Barrel Vascular Reconstruction Device; Technical Aspects and Follow-Up Results
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    Chapter 13 Ophthalmic Artery Aneurysm: Flow-Induced Intracranial and Intraorbital (“Peripheral”) Ophthalmic Artery Aneurysms, Associated with a Tentorial Dural Arteriovenous Fistula, Supplied by the Ophthalmic Artery; Endovascular Treatment of the Dural Arteriovenous Fistula and One Aneurysm; and Conservative Management of the Remaining Ophthalmic Artery Aneurysms
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    Chapter 14 Vertebral Artery Aneurysm: Incidental Large Vertebral Aneurysm with Medullary Compression, Incorporation of the PICA, Treatment with a Single p64 Flow Diverter, and Complete Aneurysm Occlusion
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    Chapter 15 Middle Cerebral Artery Bifurcation Aneurysm: Ruptured Lobulated and Wide-Necked Aneurysm with Good Clinical Outcome After Treatment with a WEB-SL
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    Chapter 16 Paraophthalmic Internal Carotid Artery Aneurysm: Coil Occlusion Assisted by the Comaneci Device
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    Chapter 17 Middle Cerebral Artery Bifurcation Aneurysm: Broad Neck Aneurysm, Incorporation of the Superior and Inferior MCA Trunk, Obliteration of the Aneurysm, and Reconstruction of the MCA Bifurcation with Four Clips
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    Chapter 18 Middle Cerebral Artery Aneurysm: Incidental Small Saccular MCA Aneurysm with Complex Geometry in a Patient with Ischemic Pontine Stroke – Microsurgical Clipping of the Saccular Aneurysm and Wrapping of a Blister Aneurysm on the Inferior MCA Branch; Postoperative DSA Confirmed the Complete Occlusion of the Saccular Aneurysm and Patency of Both Efferent MCA Branches; Development of a High-Grade Stenosis of the Inferior Trunk of the MCA, Possibly Induced by Muslin Gauze, and Eventually Formation of a De Novo Aneurysm
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    Chapter 19 Anterior Communicating Artery Aneurysm: Acute SAH Due to a Small Aneurysm, Coil Occlusion, the Issue of SAH from Small Aneurysms
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    Chapter 20 Middle Meningeal Artery Aneurysm: Non-traumatic Incidental Aneurysm of a Middle Meningeal Artery Supplying a Pial Arteriovenous Malformation; Endovascular Occlusion of the Aneurysm Using nBCA During the Preoperative Embolization of the AVM
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    Chapter 21 Supraclinoid Internal Carotid Artery Aneurysm: Giant Supraclinoid Aneurysm Treated with Telescoping p64 Flow Diverters with Complete Occlusion of the Aneurysm
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    Chapter 22 Anterior Communicating Artery Aneurysm: Previously Ruptured and Clipped Anterior Communicating Artery Aneurysm; Incidental Aneurysm Recurrence or Remnant; Endovascular Treatment with a Pipeline Embolization Device and Long-Term Follow-Up
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    Chapter 23 Internal Carotid Artery Bifurcation Aneurysm: Treatment with an Intrasaccular Flow Disruptor Contour Neurovascular System; Technical Aspects and Follow-Up Results
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    Chapter 24 Basilar Trunk Aneurysm: Blunt Head Trauma, Dissecting Aneurysm of the Proximal Basilar Trunk Causing a Subarachnoid Hemorrhage, Reconstruction of the Basilar Artery with Three Telescoping Flow Diverters Anchored in the Left Vertebral Artery, Followed by Coil Occlusion of the Right V4 Segment
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    Chapter 25 Basilar Artery Trunk Aneurysm: Giant Transitional Aneurysm, Mass Effect, Balloon Test Occlusion, Occlusion of Both Vertebral Arteries with Relief of Mass Effect and Good Outcome
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    Chapter 26 Anterior Communicating Artery Aneurysm: Large Aneurysm, Mass Effect, Deconstructive Techniques and Coiling, Occlusion, Mass Effect Relief and Excellent Evolution
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    Chapter 27 Petrous Internal Carotid Artery Aneurysm: A Giant Fusiform Aneurysm, Flow Diversion, Several Treatment Sessions, Metamizole Intake Five Years After the Initial Treatment, Thrombotic Internal Carotid Artery Occlusion, Thrombectomy
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    Chapter 28 Basilar Artery Bifurcation Aneurysm: Giant Basilar Bifurcation Aneurysm, Mass Effect, Stent-Assisted Coil Occlusion with a Single Enterprise Stent, Complete Long-Term Occlusion, Good Clinical Outcome
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    Chapter 29 Posterior Communicating Artery Aneurysm: Posttraumatic Pseudoaneurysm in a Child, Coil Occlusion and Flow Diverter Implantation, Hemorrhage Protection, Arterial Reconstruction with Relief of Mass Effect and Good Outcome
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    Chapter 30 Vertebral Artery Aneurysm: Acute Subarachnoid Hemorrhage Due to a Dissecting V4 Aneurysm, Treatment with a Flow Diverter Stent, and Complete Reconstruction of the Vessel Lumen
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    Chapter 31 Basilar Artery Trunk Aneurysm: Concomitant Retroperitoneal and Subarachnoid Hemorrhage, Segmental Arterial Mediolysis (SAM), Dissecting Aneurysm, Treatment by Partial Coil Occlusion and Flow Diversion
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    Chapter 32 Posterior Cerebral Artery Aneurysm: Endovascular Treatment of a Fusiform, Partially Thrombosed P2-Aneurysm with a Dual-Layer Flow-Diverting Stent (FRED) in a Young Patient with Good Clinical Outcome
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    Chapter 33 Vertebral Artery Aneurysm: Endovascular Treatment of a Ruptured Left Vertebral Artery Aneurysm in a Patient Who Developed Takotsubo Cardiomyopathy
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    Chapter 34 Vertebral Artery Aneurysm: Severe Subarachnoid Hemorrhage, Dissecting Pseudoaneurysm of the Vertebral Artery, and Reconstructive Treatment Using Telescoping Pipeline Flow Diverters
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    Chapter 35 Posterior Communicating Artery Aneurysm: Unrecognized Previous Aneurysm Rupture, Acute Ischemic Stroke Symptoms Due to Post-Hemorrhagic Vasospasm, Emergent Balloon-Assisted Coil Occlusion, and Repeated Intra-arterial Vasospasmolysis with Acceptable Clinical Outcome
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    Chapter 36 Posterior Communicating Artery Aneurysm: Unrecognized Previous Rupture, Recurrent Rupture During Angiography, Emergent Balloon-Assisted Coil Occlusion, Good Clinical Outcome
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    Chapter 37 Posterior Inferior Cerebellar Artery Aneurysm: Multiple Incidental Aneurysms of Both MCAs and the Left Vertebral Artery, Surgical Clipping of two Right MCA Aneurysms, and Flow Diversion Using the Slipstream Effect of the Left PICA and Left M1 Aneurysm
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    Chapter 38 Anterior Communicating Artery Aneurysm: Aneurysm Recurrence After Initial Coil Occlusion, Treated with a WEB Device
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    Chapter 39 Anterior Communicating Artery Aneurysm: Rupture with SAH, Endovascular Occlusion with Bare Coils, Early Re-rupture, Poor Clinical Outcome
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    Chapter 40 Paraophthalmic Internal Carotid Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage, Blood Blister Aneurysm, Flow Diverter Treatment During the Acute Phase
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    Chapter 41 Supraclinoid Internal Carotid Artery Aneurysm: Incidental Aneurysm, Flow Diverter Deployment Practicing in an 1:1 3D-Printed Aneurysm Model, Complete Occlusion by Coil-Assisted p64 Flow Diversion
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    Chapter 42 Anterior Communicating Artery Aneurysm: Incidental AcomA Aneurysm, pCONUS-Assisted Coil Occlusion, Intracerebral Hematoma due to Hyper-Response on Aspirin and Clopidogrel
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    Chapter 43 Vertebral Artery Aneurysm: Partially Thrombosed Dissecting Aneurysm, Symptomatic Through Brainstem Compression, Treatment with Telescoping Surpass Streamline Flow Diverters
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    Chapter 44 Anterior Choroidal Artery Aneurysm: Incidental Anterior Choroidal Artery Aneurysm, Treated by Flow Diversion Using a p64 with Preservation of the Anterior Choroidal Artery
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    Chapter 45 Supraclinoid Internal Carotid Artery Aneurysm: Large Brain AVM of the Basal Ganglia, Intracranial Hemorrhage, Stereotactic Radiosurgery, Fusiform Aneurysm Formation with Optic Nerve Compression, Balloon Test Occlusion, and Parent Vessel Occlusion
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    Chapter 46 Basilar Artery Bifurcation Aneurysm: Spontaneous SAH, Endovascular Coil Occlusion, Recurrent SAH, Multiple Retreatments, and Continued Recanalizations of a Growing Aneurysm
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    Chapter 47 Posterior Communicating Artery Aneurysm: Multiple Aneurysms, Diagnosed in Mother and Daughter, the Increased Rupture Risk, Consequences for Diagnostic Protocols, and Treatment Decisions
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    Chapter 48 Anterior Communicating Artery Aneurysm: Incidental Wide-Necked Aneurysm and Stent-Assisted Coil Occlusion Using a Barrel Stent with Transient In-Stent Stenosis
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    Chapter 49 Anterior Communicating Artery Aneurysm: Procedural Aneurysmal Re-rupture During pCONUS1 Deployment, Device Thrombosis During Coil Occlusion of the Aneurysm, Recanalization of the pCONUS1 by Infusion of Eptifibatide
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    Chapter 50 Supraclinoid Internal Carotid Artery Aneurysm: Ruptured Dissecting ICA Pseudoaneurysm, Endovascular Treatment Using a FRED, Twisting with Thrombus Formation, Early Aneurysm Occlusion, Balloon Angioplasty and Telescoping Stenting, Transient In-Stent Stenosis
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    Chapter 51 Basilar Artery Trunk Aneurysm: Large Transitional Vertebrobasilar Artery Aneurysm Causing Severe Ischemic Cerebellar Stroke; Treatment with a Surpass Flow Diverter with Growing Thrombus, Increasing Mass Effect and Continued Contrast Medium Pooling in the Thrombus Despite Angiographic Remodeling
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    Chapter 52 Vertebral Artery Aneurysm: Stent-Assisted Coil Occlusion, Early Reperfusion, ASA/Metamizol Interaction with Poorly Controlled Platelet Function Inhibition, p64 Implantation, Aneurysm Reperfusion and Thrombus-Related Inflammation, Telescoping PED Implantation and Anti-Inflammatory Medication, Angiographic Exclusion of the Aneurysm, Regression of the Inflammation and Good Clinical Outcome
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    Chapter 53 Middle Cerebral Artery (M3) Aneurysm: Ruptured Mycotic Distal Aneurysm: Treatment by Deconstructive Technique Using a Liquid Embolic Agent
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    Chapter 54 Basilar Artery Bifurcation Aneurysm: Spontaneous SAH and Recurrent Aneurysm Rupture During Computed Tomography Angiography
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    Chapter 55 Basilar Artery Bifurcation Aneurysm: Retrograde Access via the Posterior Communicating Artery to the Basilar Artery Bifurcation for Stent-Assisted Recoiling of a Wide-Necked Aneurysm
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    Chapter 56 Superior Cerebellar Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage and Stent-Assisted Coil Occlusion of a Ruptured Aneurysm at the Superior Cerebellar Artery Origin and of an Unruptured Small Basilar Artery Bifurcation Aneurysm, Bacterial Endocarditis, Early Major Aneurysm Recurrence with Oculomotor Palsy, and Treatment of the “Mycotic” Aneurysm by Flow Diverter Implantation, with Resolution of the Aneurysm and Good Clinical Recovery
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    Chapter 57 Posterior Inferior Cerebellar Artery Aneurysm: Dissecting Aneurysm Treated in Multiple Sessions and Multiple Endovascular Modalities
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    Chapter 58 Anterior Choroidal Artery Aneurysm: Basal Ganglia AVM, Supplied by the Anterior Choroidal Artery, with an Intranidal Aneurysm; Targeted Embolization Prior to Radiosurgery
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    Chapter 59 Middle Cerebral Artery Aneurysm: Multiple Intracranial Aneurysms Treated in Two Endovascular Sessions – Different Treatment Techniques in One Patient
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    Chapter 60 Anterior Communicating Artery Aneurysm: Blister-Like Aneurysm of the Anterior Communicating Artery Treated by Flow Diversion Two Weeks After Subarachnoid Hemorrhage
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    Chapter 61 Anterior Communicating Artery Aneurysm: Multilobulated Aneurysm with SAH, Treatment with a Single WEB SL Device
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    Chapter 62 Posterior Inferior Cerebellar Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage Secondary to a Dissecting Aneurysm of a Double Origin PICA
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    Chapter 63 Superior Cerebellar Artery Aneurysm: Spontaneous SAH, Occlusion of a Mid-sized, Wide-Necked Superior Cerebellar Artery Aneurysm with a Medina Device and Coils; Subsequent Coil Compaction, Treated with Flow Diversion Using a p64
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    Chapter 64 Basilar Artery Trunk Aneurysm: Spontaneous Subarachnoid Hemorrhage due to an Aneurysm Associated with a Fenestration of the Basilar Artery, Endovascular Coil Occlusion
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    Chapter 65 Middle Cerebral Artery Aneurysm: Dissecting Aneurysm in a Young Patient Treated with Three Flow Diverter Stents
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    Chapter 66 Posterior Communicating Artery Aneurysm: A Large Right Posterior Communicating Artery Aneurysm at a Sharp Angle to the Internal Carotid Artery, Treated with pCONUS2-Assisted Coil Occlusion
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    Chapter 67 Anterior Cerebral Artery (A1 Segment) Aneurysm: Incidental, Giant, Partly Thrombosed Proximal Anterior Cerebral Artery Aneurysm with Stenosis of the A1 Segment, Treated with a p48 Flow Diverter with Angiographic Exclusion of the Aneurysm and Good Clinical Outcome
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    Chapter 68 Cavernous Internal Carotid Artery Aneurysm: Rupture of a Presumably Traumatic Cavernous Internal Carotid Artery Pseudoaneurysm with Life-Threatening Epistaxis After Endonasal Pansinus Surgery
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    Chapter 69 Basilar Artery Bifurcation Aneurysm: Ruptured Wide-Necked Basilar Bifurcation Aneurysm Presenting with Atypical Clinical Signs and Symptoms, Treated with a WEB Device After a Failed Attempt at Coil Occlusion
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    Chapter 70 Internal Carotid Artery Bifurcation Aneurysm: WEB Device Dislodging into the Middle Cerebral Artery Followed by Removal with an Alligator Retrieval Device and Subsequent Coiling of the Aneurysm
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    Chapter 71 Basilar Artery Bifurcation Aneurysm: A Ruptured Wide-Necked Basilar Bifurcation Aneurysm, Treated by Dual Comaneci-Assisted Coil Occlusion
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    Chapter 72 Middle Cerebral Artery Bifurcation Aneurysm: Incidental Wide-Necked Aneurysm, MCA Branch Incorporated in the Aneurysm Base, and Treatment with Stent-Assisted Coiling Technique
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    Chapter 73 Posterior Inferior Cerebellar Artery Aneurysm: Ruptured Dissecting Small Aneurysm, Treated with Pipeline Embolization Device in the Acute Phase
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    Chapter 74 Posterior Inferior Cerebellar Artery Aneurysm: Acute SAH due to a Ruptured Dissecting Aneurysm of the Left PICA, Treated with Coil Occlusion of the Aneurysm and of the Dissected Vessel Segment with No Resulting PICA Infarct
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    Chapter 75 Cavernous Internal Carotid Artery Aneurysm: Exsanguinating Iatrogenic Internal Carotid Artery Injury During Transsphenoidal Surgery for Pituitary Macroadenoma – Packing, Transvenous Coil Occlusion of a Carotid Cavernous Sinus Fistula, and Repair of a Carotid Pseudoaneurysm with a Flow-Diverter Stent
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    Chapter 76 Middle Cerebral Artery (M3) Aneurysm: Atypical Primary Morphology and Early Recurrence After Stent-Assisted Coil Occlusion During the Long-Term Left Ventricular Assist Device Treatment, Accompanied by Temporary Septicemia; Parent Vessel Occlusion as the Final Treatment with Good Clinical Outcome
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    Chapter 77 Middle Cerebral Artery Bifurcation Aneurysm: Incidental Aneurysm, Uneventful Microsurgical Clipping, Delayed Symptomatic Vasospasm, Treated with Short-Term Intra-arterial Infusion of Milrinone, Followed by Continuous Local Intra-arterial Nimodipine Infusion, and Recurrent Generalized Epileptic Seizures
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    Chapter 78 Basilar Artery Bifurcation Aneurysm: Giant Incidental Basilar Artery Bifurcation Aneurysm, Treated by Stent-Assisted Coil Occlusion Using Two Crossing pCONUS1 Aneurysm Bridging Devices and Two Crossing Solitaire Stents Deployed in Telescoping Fashion; Four Treatment Sessions, Resulting in Permanent Aneurysm Occlusion and Good Clinical Outcome
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    Chapter 79 Superior Hypophyseal Artery Aneurysm; Giant Right Superior Hypophyseal Artery Aneurysm with Contralateral Carotid Artery Occlusion; Difficult Passage Through the Aneurysm Neck with Different Anchor Techniques, Treated by Telescoping Flow Diverter Deployment
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    Chapter 80 Vertebral Artery Aneurysm: Ruptured Dissecting Aneurysm, Implantation of Telescoping p48MW HPC Flow Diverter Stents Under Antiaggregation with ASA Only
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    Chapter 81 Anterior Communicating Artery Aneurysm: Incidental Anterior Communicating Artery Aneurysm, Treated with X-Configured Stent-Assisted Coil Occlusion
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    Chapter 82 Posterior Communicating Artery Aneurysm: Ruptured Aneurysm with Contained Pseudoaneurysm; Clinical Deterioration due to a Massive Rehemorrhage After Insertion of Bilateral External Ventricular Drains
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    Chapter 83 Middle Cerebral Artery Bifurcation Aneurysm: Recanalization of a Middle Cerebral Artery Bifurcation Aneurysm Following Treatment with a Woven EndoBridge (WEB) Device, Retreated with a pCONUS2 Device-Assisted Coil Occlusion with Good Clinical Outcome
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    Chapter 84 Middle Cerebral Artery Bifurcation Aneurysm: A Ruptured Wide-Necked Aneurysm Treated with Comaneci-Assisted Coiling
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    Chapter 85 Middle Cerebral Artery Bifurcation Aneurysm: Wide-Necked Incidental Middle Cerebral Artery Bifurcation Aneurysm – Endovascular Treatment with a WEB Single-Layer Device
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    Chapter 86 Basilar Artery Trunk Aneurysm: Incidental Aneurysm of the Basilar Artery Trunk, Incorporating Cerebellar Arteries; Documented Growth, Implantation of Two Telescoping p64 Flow Diverter Stents Under Combined Dual Antiaggregation and Anticoagulation; Complete Aneurysm Occlusion; and Collateral Supply of the Cerebellar Arteries
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    Chapter 87 Vertebral Artery Aneurysm: Unruptured Dissecting Intradural Right Vertebral Artery Aneurysm with Brainstem Compression; Coil Occlusion of the Aneurysm and the Parent Artery with Resolution of the Mass Effect; Good Clinical Outcome with Long-Term Follow-up
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    Chapter 88 Basilar Artery Trunk Aneurysm: A Complex Aneurysm at a Basilar Artery Trunk Fenestration, Treated with Comaneci-Assisted Coil Occlusion
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    Chapter 89 Posterior Cerebral Artery Aneurysm: A Dissecting, Partially Thrombosed Fusiform Aneurysm of the Left Posterior Cerebral Artery, Treated with a p64 Flow Diverter
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    Chapter 90 Basilar Perforator Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage Caused by the Rupture of a Small Aneurysm of a Pontine Perforating Vessel Originating from the Upper Basilar Artery Trunk; Conservative Management, with Fatal Outcome After Recurrent Hemorrhages and due to Severe Vasospasm
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    Chapter 91 Paraophthalmic Internal Carotid Artery Aneurysm: Incidental Paraophthalmic Aneurysm of the Right Internal Carotid Artery, Treated with Intra- and Extrasaccular Flow Diversion; Hyperresponse on Antiplatelet Medication with Sulcal Subarachnoid Hemorrhage; Reduction of the Antiplatelet Medication Dosage; Thromboembolic Occlusion of the p64 Flow Diverter Only 24 h After the Last Intake of Ticagrelor; Thrombectomy with Recanalization of the p64 and Good Clinical Outcome
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    Chapter 92 Cavernous Internal Carotid Artery Aneurysm: Diplopia due to a Large Cavernous Aneurysm Causing Oculomotor Nerve Palsy; Partial Coil Occlusion and p64 Flow Diverter Implantation; Resolution of the Cranial Nerve Palsy and Complete Clinical Recovery
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    Chapter 93 Cavernous Internal Carotid Artery Aneurysm: Visual Disturbance Due to a Large Cavernous Aneurysm Presumably Causing Recurrent Retinal Ischemia; Coil Occlusion of the Aneurysm Together with the Parent Artery; Resolution of the Visual Disturbance and Clinical Recovery During Long-Term Follow-Up
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    Chapter 94 Supraclinoid Internal Carotid Artery Aneurysm: Four Incidental Paraophthalmic and Supraclinoid Tandem Aneurysms, Treated with a Single Flow Diverter Stent
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    Chapter 95 Middle Cerebral Artery Bifurcation Aneurysm: Saccular Aneurysm of the Middle Cerebral Artery Bifurcation Treated with a Flow Diverter Stent
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    Chapter 96 Posterior Communicating Artery Aneurysm: Subarachnoid Hemorrhage from a Small Aneurysm Located on an Infundibulum of the Posterior Communicating Artery; Partial Clipping of the Aneurysm, Followed by Endovascular Flow Diversion, with Good Clinical Outcome
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    Chapter 97 Posterior Cerebral Artery Aneurysm: Unruptured, Large, Dissecting, and Partially Thrombosed Aneurysm of the Posterior Cerebral Artery, Treated with a p64 Flow Diverter, with Reconstruction of the Parent Artery
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    Chapter 98 Internal Carotid Artery Aneurysm: Multiple Internal Carotid Artery Aneurysms in a Patient Presenting with Subarachnoid Hemorrhage; Treatment with Flow Diverter Stents
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    Chapter 99 Basilar Artery Bifurcation Aneurysm: Incidental Flow-Related Wide-Necked Basilar Bifurcation Aneurysm in a Ruptured Arteriovenous Malformation, Treated with PulseRider-Assisted Coil Occlusion with Angiographic Exclusion of the Aneurysm and Good Clinical Outcome
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    Chapter 100 Middle Cerebral Artery Bifurcation Aneurysm: Incidental Tandem Aneurysms of the Middle Cerebral Artery; Periprocedural Rupture of a Temporal Artery Aneurysm During Coil Insertion; Sealing of the Rupture Site and Parent Vessel Occlusion with nBCA; Subsequent Coil Occlusion of an MCA Bifurcation Aneurysm Assisted by a pCONUS1 HPC Device Under Mono-antiaggregation with ASA Only
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     Chapter 101 Middle Cerebral Artery (M2) Aneurysm: Endovascular Treatment of a Ruptured Left MCA (M2) Aneurysm in an Elderly Patient with Good Clinical Outcome
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     Chapter 103 Anterior Communicating Artery Aneurysm: Subarachnoid and Intracerebral Hemorrhage from an Aneurysm on the Posterior Aspect of the Anterior Communicating Artery – Microsurgical Clipping with a Fenestrated and Angulated Clip Without Direct Visual Control During Clip Application
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     Chapter 105 Azygos Anterior Cerebral Artery Aneurysm: Ruptured Distal Azygos Anterior Cerebral Artery Aneurysm; Retractorless Clipping, Focused Interhemispheric Approach, Positioning of Head, Rationale for Open Surgery
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     Chapter 107 Middle Cerebral Artery Bifurcation Aneurysm: Wall Enhancement in MRI Vessel Wall Imaging Correlates with Histological Findings
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     Chapter 113 Superior Cerebellar Artery Aneurysm: A Small Ruptured Superior Cerebellar Artery Aneurysm Detected by Repeated Angiography and Successfully Treated by Microsurgical Clipping After a Failed Attempt at Coil Occlusion
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     Chapter 114 Posterior Inferior Cerebellar Artery Aneurysm: Incidental Aneurysm, Trapping by Microsurgical Clipping, and Resection of the Aneurysm
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     Chapter 118 Paraclinoid Internal Carotid Artery Aneurysm: Two-Stage Treatment of a Giant Paraclinoid Internal Carotid Artery Aneurysm with Partial Clip Ligation, Followed by Flow Diverter Implantation; Late Thrombotic Flow Diverter Occlusion, Recanalized by Endovascular Means, with Good Clinical Outcome
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     Chapter 119 Paraophthalmic Internal Carotid Artery Aneurysm: Spontaneous Subarachnoid Hemorrhage Caused by the Rupture of a Paraophthalmic Aneurysm, Treated with Coils and Complicated by Severe Vasospasm, Treated with Pharmaceutical Vessel Dilatation and Proximal Balloon Angioplasty; Diffuse Distal Vasospasm Treated with the NeuroFlo Device with Good Clinical Outcome
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     Chapter 120 Middle Cerebral Artery Bifurcation Aneurysm: Unruptured Wide-Necked Aneurysm of the Middle Cerebral Artery Bifurcation, Treatment with Intra-saccular Flow Disruptor (pCANVAS) Neck-Bridging Device, Technical Aspects and Follow-Up Results
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     Chapter 121 Internal Carotid Artery Bifurcation Aneurysm: Symptomatic Internal Carotid Artery Bifurcation Aneurysm in a Pediatric Patient Treated with Flow Diversion
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     Chapter 123 Sulco-commissural Artery Aneurysm: Spontaneous Cervical Intramedullary and Subarachnoid Hemorrhage, Cervical Intradural Arteriovenous Fistula, Aneurysm of a Cervical Sulco-commissural Artery, Failed Attempt to Occlude the Aneurysm by Endovascular Means, Surgical Resection of the Aneurysm with Preservation of the Anterior Spinal Artery, and Partial Resection of the Intradural Arteriovenous Fistula
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     Chapter 124 Posterior Inferior Cerebellar Artery Aneurysm: Microsurgical Clipping of a Ruptured Posterior Inferior Cerebellar Artery (PICA) Aneurysm Not Well Suited to Endovascular Treatment, Far-Lateral Transcondylar Approach to the Anterior Medullary Segment of the PICA, Complete Exclusion of the Aneurysm with Preservation of the Parent Artery
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     Chapter 125 Anterior Communicating Artery Aneurysm: SAH and Large Intracerebral Hematoma due to a Ruptured Anterior Communicating Artery Aneurysm, Initially Treated with a WEB Device, and Re-treatment of a Residual Aneurysm with Stent-Assisted Coiling
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     Chapter 126 Internal Carotid Artery Bifurcation Aneurysm: Spontaneous Thrombosis of an Incidental ICA Bifurcation Aneurysm Despite Dual Platelet Function Inhibition
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     Chapter 127 Middle Cerebral Artery Bifurcation Aneurysm: Wide-Necked Unruptured MCA Aneurysm Occlusion with Stent-Assisted WEB Implantation
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     Chapter 128 Basilar Artery Trunk Aneurysm: Unruptured Saccular Aneurysm of the Distal Basilar Artery Trunk at the Origin of the Left Superior Cerebellar Artery with Brainstem Compression, LEO Stent-Induced Flow Diversion of the Aneurysm with Resolution of the Mass Effect and No Perforator Occlusion, and Good Clinical Outcome with Midterm Follow-Up
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     Chapter 129 Cavernous Internal Carotid Artery Aneurysm: Large Cavernous Carotid Artery Aneurysm Causing Compression of the Internal Carotid Artery in a Young Woman with Ehlers-Danlos Syndrome with Segmental Dissections of the Carotid and Vertebral Arteries; Complete Reconstruction of the Internal Carotid Artery with Five Pipeline Embolization Devices; Complete Aneurysm Resolution and Good Clinical Outcome
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     Chapter 130 Anterior Inferior Cerebellar Artery Aneurysm: Saccular Non-Ruptured Aneurysm of the Premeatal Segment of the Anterior Inferior Cerebellar Artery, Treated with Flow Diverter Implantation into the Basilar Artery, with Complete Aneurysm Occlusion, Preservation of the Parent Artery, and Good Clinical Outcome
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     Chapter 131 Middle Cerebral Artery Bifurcation Aneurysm: Acute Subarachnoid Hemorrhage Secondary to a Saccular Aneurysm Arising from the Bifurcation of the Middle Cerebral Artery – Endovascular Treatment with the Woven EndoBridge Device
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     Chapter 132 Anterior Cerebral Artery (A1 Segment) Aneurysm: Abandoned Dual Platelet Inhibition Shortly After Endovascular Treatment with a Hydrophilic Polymer-Coated Flow Diverter p48MW HPC; Good Clinical Outcome and Early Aneurysm Occlusion
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     Chapter 133 Vertebral Artery Junction Aneurysm: Atherosclerotic Aneurysm of the Vertebrobasilar Junction, Treated with Coil Occlusion and Staged Flow Diversion
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     Chapter 134 Middle Cerebral Artery Aneurysm: Proximal Middle Cerebral Artery Aneurysm Treated with Telescoping Flow Diverter Implantation and Loose Coiling After Preparatory Implantation of a Braided Stent as a Scaffold
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     Chapter 135 Internal Carotid Artery Bifurcation Aneurysm: Microsurgical Clipping of a Large Wide-Necked Internal Carotid Artery Bifurcation and Anterior Choroidal Artery Aneurysm After a Previous Failed Attempt at Flow Diverter Implantation
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     Chapter 136 Middle Cerebral Artery Bifurcation Aneurysm: Wide-Necked Middle Cerebral Artery Bifurcation Aneurysm, Treated with the Woven EndoBridge (WEB), Assisted by pCONUS1 HPC
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     Chapter 137 Vertebral Artery Aneurysm: A Ruptured Wide-Necked Distal Vertebral Artery Aneurysm, Treated with Cascade Net-Assisted Coil Occlusion
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     Chapter 138 Superior Cerebellar Artery Aneurysm: Ruptured Blister Aneurysm Treated with Balloon-Assisted Coil Occlusion with Good Angiographic and Clinical Outcome
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     Chapter 139 Ophthalmic Artery Aneurysm: Subarachnoid Hemorrhage and Visual Disturbance due to a Ruptured Intracranial and Intracanalicular Ophthalmic Artery Aneurysm; Endovascular Remodeling of the Ophthalmic Artery via Flow Re-Direction Endoluminal Device (FRED Jr.); Resolution of the Visual Disturbance; Short-Term Clinical and Radiological Follow-Up
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     Chapter 140 Supraclinoid Internal Carotid Artery Aneurysm: Iatrogenic Aneurysm of the Supraclinoid Internal Carotid Artery After Craniopharyngioma Resection; Treatment of an Unruptured Fusiform Aneurysm with a Cardiatis Flow Diversion Device; Technical Aspects, Follow-Up Results, and Literature Review
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     Chapter 141 Anterior Cerebral Artery (A1 Segment) Aneurysm: A Very Small Incidental A1 Aneurysm Treated with p48 Flow Diverter with Good Clinical and Angiographic Outcome
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     Chapter 142 Paraophthalmic Internal Carotid Artery Aneurysm: Non-ischemic Cerebral Enhancing (NICE) Lesions After the Endovascular Treatment of an Incidental Paraophthalmic Aneurysm with Flow Diverters and Coils; Conservative Management, with Resolution of the Pathological Cerebral Findings and Clinical Recovery During Mid-Term Follow-Up
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     Chapter 143 Lenticulostriate Artery Aneurysm: Arterial Hypertension, Intracerebral Hemorrhage Associated with Lenticulostriate Artery (Charcot Bouchard) Aneurysms – Conservative Management, Spontaneous Aneurysm Resolution, and Good Clinical Outcome
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     Chapter 144 Middle Cerebral Artery Aneurysm: Treatment of a Large Unruptured Partially Calcified and Thrombosed Dissecting Middle Cerebral Artery Aneurysm with a FRED Jr. Flow Diversion Device; Technical Aspects and Follow-Up Results
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     Chapter 145 Internal Carotid Artery Aneurysm: Large Saccular Persistent Primitive Trigeminal Artery Aneurysm, with Mass Effect, Treated with Flow Diverter and Deconstructive Technique with Coils, Good Clinical Outcome, and Follow-Up Results
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     Chapter 146 Pericallosal Artery Aneurysm: Complex Wide-necked Aneurysm Located at a Pericallosal Artery Trifurcation; Microsurgical Clipping and Complete Obliteration of the Aneurysm with Preservation of the Efferent Vessels and with Good Clinical Outcome
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     Chapter 147 Vertebral Artery Aneurysm: A Duplicated Vertebral Artery Dissecting Pseudoaneurysm; Successful Endovascular Treatment with the Pipeline Embolization Device of a Large, Unruptured Dissecting Pseudoaneurysm Located on a Fenestrated Limb of the Intracranial Vertebral Artery; Technical Aspects and Follow-Up Results
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     Chapter 148 Anterior Communicating Artery Aneurysm: Stent-Assisted Anterior Communicating Artery Aneurysm Coil Occlusion – A Duplicated AcomA as a Potentially Dangerous Cause of a Nonexpanding Stent
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     Chapter 149 Pericallosal Artery Aneurysm: WEB Occlusion of a Ruptured Flow-Related Distal Aneurysm of the Pericallosal Artery in a Patient with a Parietal Arteriovenous Malformation and Intracerebral Hemorrhage
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     Chapter 150 Anterior Cerebral Artery (A1 Segment) Aneurysm: Giant Partially Thrombosed A1 Aneurysm with Mass Effect, Treated with a Pipeline Embolization Device, Complete Resolution of the Mass Effect, and Modification of the Shape of the Implant During Long-Term Follow-Up
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     Chapter 151 Supraclinoid Internal Carotid Artery Aneurysm: Acute Subarachnoid and Intraventricular Hemorrhage due to Aneurysm Rupture After Flow Diverter-Assisted Coil Occlusion
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     Chapter 152 Vertebral Artery Junction Aneurysm: Ruptured Aneurysm at a Fenestrated Vertebrobasilar Junction, Treated with Stent-Assisted Coil Occlusion and Telescoping Flow Diverters
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     Chapter 153 Middle Cerebral Artery Bifurcation Aneurysm: Incidental Aneurysm of the Middle Cerebral Artery Bifurcation, Treated with Crossing Solitaire Stent-Assisted Coil Occlusion; Aneurysm Growth with Partial Thrombosis and Perianeurysmal Edema During the Long-Term Course
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     Chapter 154 Cervical Internal Carotid Artery Aneurysm: Spontaneous Dissection of the Cervical Internal Carotid Artery Resulting in Elongation and Pseudoaneurysm Formation Causing Hypoglossal Nerve Palsy; Endovascular Vessel Reconstruction with Stenting, Followed by Telescoping Flow Diversion, Achieving Straightening of the Artery, Aneurysm Occlusion, Hypoglossal Nerve Recovery, and Normalization of the Tongue
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     Chapter 155 Middle Cerebral Artery (M3) Aneurysm: Treatment of a Mycotic Aneurysm of the Distal Middle Cerebral Artery with Coil Occlusion of Both the Aneurysm and the Parent Vessel
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     Chapter 156 Vertebral Artery Junction Aneurysm: Brain Stem Compression due to a Giant Dolichoectatic and Partially Thrombosed Aneurysm Involving the Intradural Segments of Both Vertebral Arteries and the Proximal Trunk of the Basilar Artery; Asymptomatic Thrombosis of the Vertebral Artery Junction After Ventricle Shunting; Endovascular Disconnection of the Vertebrobasilar Junction Using Coil Occlusion of Both V4 Segments and Flow Diverter Stent Deployment from Both Posterior Inferior Cerebellar Arteries to the Afferent V4 Segments; Long-Term Follow-Up Showing Aneurysm Shrinkage and Good Clinical Outcome
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     Chapter 157 Basilar Artery Trunk Aneurysm: Symptomatic Basilar Artery Trunk Dissecting Aneurysm with Critical Vasospasm Treated by Blind Deconstructive Coiling, Angioplasty, Embolectomy, and Flow Diversion
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     Chapter 158 Superior Hypophyseal Artery Aneurysm: Nickel Allergy and Autoimmune Inflammatory Syndrome (ASIA) After Flow Diverter Implantation as a Treatment of an Internal Carotid Artery Aneurysm
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     Chapter 159 Posterior Communicating Artery Aneurysm: Surgical Trapping of a Giant Posterior Communicating Artery Aneurysm – Balloon Test Occlusion and Clip Ligation for Trapping
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     Chapter 160 Anterior Communicating Artery Aneurysm: Symptomatic Anterior Communicating Artery Aneurysms in a Patient with Autosomal Dominant Polycystic Kidney Disease, Treated with Flow Diversion
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     Chapter 161 Middle Cerebral Artery Aneurysm: Complex Wide-Necked and Lobulated Aneurysm of the Middle Cerebral Artery Bifurcation, Treated by Stent-Assisted Coil Occlusion Using a pCONUS2 Aneurysm Bridging Device and p48MW Flow Modulation Device Deployed Through the pCONUS2 Device; Two Treatment Sessions, Complete Aneurysm Occlusion, and Good Clinical Outcome
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     Chapter 162 Azygos Anterior Cerebral Artery Aneurysm: Incidental Saccular Aneurysms of an Azygos Anterior Cerebral Artery and of the Right-Hand Fenestrated A1 Segment; Endovascular Treatment of Both Aneurysms with Stent- and pCONUS1-Assisted Coil Occlusion with Complete Occlusion During Long-Term Follow-Up and with a Good Clinical Outcome
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     Chapter 163 Petrous Internal Carotid Artery Aneurysm: Endovascular Treatment with Coils and Flow Diverter Stents of a Large Petrous Internal Carotid Artery Aneurysm Associated with Full-Blown Fibromuscular Dysplasia, and Flow Diverter Reconstruction of the Contralateral Internal Carotid Artery, Followed by the Coil Occlusion of an Aneurysm of the Anterior Communicating Artery, and Balloon Angioplasty of a Left Internal Carotid Artery In-Stent Stenosis, with Good Clinical Outcome
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     Chapter 164 Posterior Communicating Artery Aneurysm: Progressively Enlarging, Symptomatic, and Partially Thrombosed Fusiform True Posterior Communicating Artery Aneurysm, Treated by Coil Occlusion of the Parent Artery and Disconnection of the Posterior Communicating Artery by Parallel Flow Diversion in Two Treatment Sessions; Complete Aneurysm Occlusion, Aneurysm Shrinkage, and Good Clinical Recovery
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     Chapter 165 Middle Cerebral Artery (M3) Aneurysm: Two “Mycotic” Aneurysms of the Middle Cerebral Artery Due to Bacterial Endocarditis; Endovascular Treatment of One Aneurysm with Glue (nBCA) Injection During Adenosine-Induced Asystole; Spontaneous Resolution of the Second Aneurysm
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     Chapter 166 Internal Carotid Artery Bifurcation Aneurysm: Ruptured Internal Carotid Artery Aneurysm in a Patient with Corrected Coarctation of the Aorta Treated with Balloon-Assisted Coiling, Exclusion of the Aneurysm, and Good Clinical Outcome
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     Chapter 167 Cavernous Internal Carotid Artery Aneurysm: Giant Posttraumatic Carotid Cavernous Pseudoaneurysm, Presenting with Epistaxis; Treated in Two-Stage Strategy with Complete Occlusion and Delayed Coil Extrusion Through the Nostril
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     Chapter 168 Basilar Artery Bifurcation Aneurysm: Small Wide-Necked Incidental Basilar Artery Bifurcation Aneurysm, Treated with Staged pCONUS1 HPC Implantation and Coil Occlusion; Protrusion of a Coil Loop into the Basilar Artery Bifurcation, Which Prompted the Removal of That Coil Using an Alligator Device