Pipeline Flex Embolization Device for Treatment of Pericallosal Artery Aneurysm
A 59-year-old female with incidental discovery of multiple cerebral aneurysms while undergoing workup for eye pain and headache. The patient is an active smoker. On angiogram, she was found to have a posterior communicating artery aneurysm of a fetal posterior cerebral artery, an anterior communicating artery, and a bilobed pericallosal aneurysm. The PCoM aneurysm was treated using dual microcatheter and balloon remodeling technique, and the ACoM aneurysm was coiled using standard single microcatheter technique. The anterior cerebral artery is of azygous variation (Fig. 28.1).
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