Fig 4. A 49-year-old woman with a ruptured 10-mm basilar tip aneurysm. A, Precoiling vertebral angiogram demonstrates the basilar tip aneurysm with a small bleb on its base (arrow). B, On the angiogram immediately postcoiling, the bleb (arrow) is not occluded. C, Unchanged open bleb (arrow) at 6 months. D, Angiogram at 5.5 years with recurrence (arrow) at the base from the bleb. E and F, MRA overview (E) and detail (F) at 8.1 years demonstrate unchanged recurrence (arrow).