Silk Vista "Mama" 1st case experience

CASE PRESENTATION

• 64-year-old female patient
• Workup due to headaches
• Bilateral multiple ACI aneurysms

TREATMENT APPROACH

• Decision was taken to first treat the right side because of larger sizes of aneurysms then contralateral side
• Patient was loaded 5 days before with clopidogrel and aspirin 1x1
• Stent size was chosen by slightly oversizing proximal diameter, so the device was 4.75x25
• NEURONMAX 80, NAVIEN 6f 115, Headway 21 and Traxacess wire

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RESULTS

• 20 min control angio were fine
• The patient was woken up without any new neurological deficits
• MRI has been done 11 days after placing the flow diverter. It is showing thrombosis inside a bigger aneurysm.