AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on July 10, 2008
doi: 10.3174/ajnr.A1172

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Successful Staged Endovascular Treatment of a Symptomatic Cervical Carotid Bifurcation Stenosis Coupled with a Coincidental Unruptured Cerebral Aneurysm in the Carotid Distal Segment

T. Iwataa, T. Moria and H. Tajiria

a From Shonan Kamakura General Hospital, Kamakura, Japan


Figure 1
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Fig 1. Left common carotid angiography (anteroposterior projection) shows a high-grade carotid bifurcation stenosis (A) and a coincidental unruptured intracranial aneurysm (6 x 4 mm) (B).


Figure 2
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Fig 2. A, Left common carotid angiography (anteroposterior projection) after positioning the guide-catheter (6F Shuttle-SL guide sheath) demonstrates the support-wire (0.014-inch Right Away Super Hard) inserting into the left ECA and a high-grade carotid bifurcation stenosis. B, MintCatch filter-type catheter with a 5-mm diameter.


Figure 3
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Fig 3. Left common carotid angiography 3 months after CAS (anteroposterior projection) shows complete obliteration of the embolized aneurysm (A) and no restenosis of the carotid bifurcation (B).