Abstract

BackgroundTreatment of complex wide neck internal carotid aneurysm is technically difficult with both surgical as well as endovascular therapy. In this study, we work with flow diverter device to construct vascular lumen which diverts the blood flow from aneurysm sac.Case presentationWe report on two patients with two complex wide neck ruptured aneurysms located in the internal carotid artery associated with two small aneurysms who presented with severe headache and vomiting. All aneurysms were treated with single Surpass Evolve flow diverter (SE-FD) placement. Post-procedural clinical and angiographic outcomes were evaluatedConclusionThis study shows that Surpass Evolve flow diverter is safe and validity for management of complex wide neck internal carotid artery aneurysm and able to terminate all blister aneurysms associated with the parent artery.

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