38 YO FEMALE WITH RUPTURED DACA ANEURYSM A MONTH

AGO..PERICALLOSAL ARTERY COMES OFF FROM THE ANEURYSM SAC…HOW

DO YOU TREAT THISCASE?..

A FD WAS JUST DEPLOYED FROM A2 TO

CALLOSOMARGINAL ARTERY JAILING THE ANEURYSM

AND PERICALLOSAL ARTERY WITH OF COURSE GOOD

THROMBOCYTE INHIBITION LEVEL OF %72… POST TREATMENT

2 YEARS CONTROL SHOWING COMPLETELY REMODELLED DACA BIFURCATION WITH

ANEURYM OCCLUSION AND PATENCY OF PERICALLOSAL ARTERY WHICH BECOME

HYPOPLASTIC..THE PATIENT IS NEUROLOGICALLY INTACT…

2 YEARS CONTROL SHOWING COMPLETELY

REMODELLED DACA BIFURCATION BUT PATENT

HYPOPLASTIC PERICALLOSAL ARTERY..

58 yo female,

neurologically

intact, w ruptured

DACA aneurysm

presented to us at

post SAH 3rd week..

6 months control

6 months control revealed flow remodelling with aneurysm and

pericallosal artery occlusion which was reconstructed retrogradly

with pial anostomoses..A moderate stenosis was also noted at

proximal stent

However, 18th month control revealed aneurysm occlusion and nice

antegrad patency of pericallosal artery.. This proves that, like in many cases

we observed, flow remodelling is not completed at early FUs….Proximal

instent stenosis looked improved..

18th month control

1 month CTA

6 MONTHS CONTROL

6 MONTHS CONTROL 1 YEAR CONTROL 3 YEARS CONTROL

3 YEARS CONTROL

6 months control