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Figure 2


Fig 2. A, Digital subtraction angiography, left ICA, working projection showing an aneurysm at the bifurcation of the MCA. The aneurysm is wide-necked and incorporates the origin of the temporal branch in its base. The MCA and its branches show signs of severe posthemorrhagic vasospasm. B, Subtotal occlusion of the aneurysm with preservation of the patency of the temporal branch of the MCA. C, Total occlusion of the MCA due to thrombus formation. The microcatheter is still in the aneurysm. D, Final result with total recanalization of the MCA following the administration of 10-mg eptifibatide on the clot. Note that there are no signs of aneurysm recanalization