Aneurysm with a Branch Arising from the Sac: Balloon over Inflation Technique

  • Vipul GuptaEmail author


A 68-year-old female presented with subarachnoid haemorrhage 2 weeks back. Selective right internal carotid angiogram (Fig. 12.1) revealed right posterior communicating artery aneurysm with posterior cerebral artery (PCA) arising from the aneurysm. The PCA was filling solely from the internal carotid artery (ICA) injections. Vertebral artery angiogram did not reveal any opacification of right PCA due to absent P1 segment of right PCA. The aneurysm was broad neck along with a small projection from the fundus, probably the rupture point.

Suggested Reading

  1. Kim BM, Park SI, Kim DJ, et al. Endovascular coil embolization of aneurysms with a branch incorporated into the sac. AJNR Am J Neuroradiol. 2010;31:145–51.CrossRefGoogle Scholar
  2. Lubicz B, Lefranc F, Levivier M, et al. Endovascular treatment of intracranial aneurysms with a branch arising from the sac. AJNR Am J Neuroradiol. 2006;27:142–7.PubMedGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Neurointerventional Surgery, Stroke unitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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