AJDRAJNR - American Journal of Neuroradiology

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Case Report
INTERVENTIONAL

Selective Neck Occlusion of a Large Complex Aneurysm of the Middle Cerebral Artery Trifurcation with the UltraSoft Coil

Goetz Benndorfa, Stefan Kroppenstedtb, Adriana Campic and Andreas Unterbergb

a Department of Radiology, Charité, Campus Virchow, Humboldt University of Berlin, Germany
b Department of Neurosurgery, Charité, Campus Virchow, Humboldt University of Berlin, Germany
c Department of Neuroradiology, Hospital San Raffaele, Milan, Italy

Address reprint requests to Goetz Benndorf, MD, Neuroangiography/Neurointervention, Department of Radiology, Charité, Virchow Campus, Humboldt University Berlin, Augustenburger Platz 1, 13353 Berlin, Germany

Summary: We present a case of an unruptured, large, complex, middle cerebral artery trifurcation aneurysm that was successfully treated by selective occlusion of the neck with a single, newly available UltraSoft coil. The satisfactory initial anatomic result was stable, as demonstrated on a 3-month follow-up arteriogram that indicated complete anatomic cure. The novel UltraSoft coil offers additional possibilities in the endovascular management of difficult-to-treat vascular lesions.