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Dive into a compelling pediatric case presented by Flavio Requejo (Argentina). Check out the shared details and let us know how you would have handled this case by participating in our poll!
Figure 1: Partially thrombosed MCA/ ICA dissecting aneurysm
Figure 2: DSA shows a dissecting aneurysm involving the right ICA and MCA previous its bifurcation. TBO shows good leptomeningeal collaterals of the M2 superior trunk.
The treatment chosen by Flavio Requejo's team is : Endovascular MCA reconstruction with flow diverter
Figure 3: Angioplasty with Eclipse Balloon. 6x7
Figure 4: 2 FD STENTS from the ICA to the inferior ramus M2 - SILK PLUS: 4,5x25mm - 4,0x 30mm
Figure 5: 3 months FU - 6 months FU
Figure 6: 8 months FU/ Aneurysm rest in the superior M2 branch not covered by the FD Stent
Figure 7: Shrinkage of the lesion
