Giant ICA Aneurysm Flow-Diverter Assisted Coiling

Presented during LINNC Paris 2026 by Dr. Yuxiang GU and team, this live case demonstrates flow-diverter assisted coiling for a right giant internal carotid artery (ICA) aneurysm.

Clinical Presentation & Strategic Decision-Making

The session features a 25-year-old female presenting with a 2-month history of blurred vision, a right partial nasal/inferior visual field defect, and an acuity of VOD 0.5 / VOS 1.0. Imaging confirmed a giant 26×17 mm right C6 ICA aneurysm. To achieve stable occlusion and alleviate mass effect on the optic nerve, the team opts for a flow-diverter assisted coiling strategy.

Key technical highlights

Access & navigation: Establishing support using a SOLAR 6F long sheath and a 6F X-TRACT Distal Access Catheter (DAC).
Microcatheter & wire setup: Navigating the anatomy with a 0.014/0.018 Starship microwire to position a Luna microcatheter and a Sine27 microcatheter.
Flow diversion & coiling: Deploying a Lattice NEXT flow diverter across the neck alongside targeted coil embolization.

FD assisted coiling for right giant ICA Aneurysm

Live Case transmission From Huashan Hospital, Shanghai, China

Clinical Presentation & Strategic Decision-Making

Key technical highlights

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