In this compelling case presentation from LINNC Paris 2024, Dr. Omar Choudhri reviews the challenging treatment of a 55-year-old female patient with a 5mm incidental left ICA ophthalmic aneurysm, presenting with headaches and left periorbital pain. When an initial attempt at flow diversion encountered a critical issue—the proximal end of the Surpass device failed to open and led to an occlusion in the left ICA—the team had to quickly evaluate salvage options. Discover how they successfully addressed this complication through transcirculation stenting with an ATLAS stent!