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Management of a Complex Aneurysm in the Right-Sided Posterior Cerebral Artery (PCA), P1 Segment

A patient's case garnered significant attention from our medical team. For several months, we closely monitored the patient's condition using 3D Magnetic Resonance Angiography. Unfortunately, the imaging revealed that the patient's brain aneurysm had not only enlarged but also changed in shape, increasing the risk of a severe subarachnoid hemorrhagic stroke due to rupture of the aneurysm.

 

Faced with this challenge, we decided to take action and planned an innovative treatment: a one-hour minimally invasive neurovascular catheter surgery. The neurovascular surgeon performed the surgery through the patient's right thigh inguinal artery using a needle-sized catheter.

 

During the surgery, the doctor successfully implanted a blood flow diversion stent in the neck of the aneurysm, aiming to block and eliminate the vascular aneurysm.

 

After the surgery, the medical team immediately conducted a dynamic cerebral angiography. The results showed that the aneurysm was successfully sealed. There was stagnation of the contrast agent inside its sac, and all other normal brain vessels were well preserved. This outcome not only brought a ray of hope to the patient but also greatly encouraged the medical team.

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