Acute Treatment of ruptured fusiform V4 aneurysm

CASE PRESENTATION 

• History of Hypertension (4y)
• SAH F IV WFNS 1 HH 2

• AngioCT (+) fusiform aneurysm
• 3D DSA 

DIAGNOSTIC ANGIO

TREATMENT OPTIONS

• Stent & coils? 
• Flow Diversion? 
• Bypass? 
• Vertebral closure? 

PIPELINE FLEX® FLOW DIVERT

1y Control - mRs 0

POINT FOR DISCUSSION

• Is there a better approach for a ruptured fusiform posterior circulation aneurysms?
• Does the aneurysm have features that will lead to retreatment later on?
• Did we use the appropriate approach in this case?