EC Clinical and Medical Case Reports

Introduction: Cerebral saccular aneurysms represent pathological dilations or bulges of the arteries in the brain due to weakening of the muscular layer of the vessel wall. The approach or technique of endovascular intervention varies depending on the dimensions of the aneurysm neck.

Aims: To present a case of one of the newer endovascular techniques for treating wide-necked cerebral aneurysms that offers a good cost-benefit ratio for patients and rapid post-therapy recovery.

Case Report: A 60-year-old woman presented with severe pulsating pain behind the left eye persisting for a long period and ptosis of the left eyelid. A CT scan of the brain revealed an oval hyperdense extra-axial lesion. The patient was referred for puncture angiography using the Seldinger technique, where a large aneurysm with a wide neck in the ophthalmic segment of the left ICA was diagnosed. Endovascular treatment was approached using a noncompletely occlusive net-assisted remodeling and coiling technique, whereby the aneurysm was completely excluded from circulation.

Conclusion: The noncompletely occlusive net-assisted remodeling technique in coiling of wide-necked cerebral aneurysms offers optimal results for successfully resolving the aneurysmal dilation.

 Keywords: Endovascular Treatment of Aneurysm; Aneurysm; Brain CT; Coiling; Noncompletely Occlusive Net-Assisted Remodeling Technique

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