Aneurysm on the left ICA in carotid cave segment

CASE PRESENTATION

• 27 y/o female with constant headaches in last couple of years
• During workup , aneurysm on the left ICA was depicted in "carotid cave” segment
• Patient opted for treatment and Flow Diverter was chosen
• Medication: she was prepared with double antiaggregation therapy with ticagrelor and aspirin.

TREATMENT APPROACH

• Due to size, Silk Vista was chosen 3.75x15
• Dyna CT confirmed good apposition to the vessel wall so the team didn't apply PTa.
• Good stasis of contrast in aneurysm on the angio images.

RESULT

• The postprocedural stay was uneventful as she was discharged home.