Dissecting MCA Aneurysm

1. Dr Vipul Gupta
Medanta-The Medicity
Gurgaon, India

2. A B
Fig. 1 A & B – DSA (A) with 3D reconstruction (B)
shows a fusiform aneurysm involving left MCA
bifurcation particularly the lower division.
Dissecting MCA Aneurysm

3. C & D - Road map
images showing a
micro catheter being
navigated to lower
division of MCA. E –
Stent deployment in
lower division of
MCA. F- DSA after
coil placement
showing almost
complete occlusion.
C D
E F

4. A
B
C
D
Fig. 2 A- Follow-up
Angiogram revealing
growth of residual
aneurysm. B & C – 3D
angiography. B – overlap
of coil mass (orange) and
the recurrent aneurysm
seen. C- By changing the
angulation the neck of
the recurrent aneurysm
could be profiled.
D – Road map image
showing tip of coiling
microcatheter at the
neck of the aneurysm.

5. E
E – Post coiling angiogram showing
complete occlusion. F – Native image
showing the coil mass.
F
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6. E
E – Post coiling angiogram showing
complete occlusion. F – Native image
showing the coil mass.
F
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Stroke and Neurovascular
Interventions Foundation
www.sanif.co.in