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Fig. 1 | BMC Neurology

Fig. 1

From: Recurrence and retreatment of anterior communicating artery aneurysms after endovascular treatment: a retrospective study

Fig. 1

A 55-year-old patient with recurrent Acom aneurysm. Initial angiogram (a) showed a ruptured Acom aneurysm (arrow); maximal height 16.6 mm, neck size 6.6 mm. Immediate post-embolization image (b) showed a neck remnant (class II) occlusion of aneurysm without distal sac flow. After one year, cerebral angiography (c) revealed a recurrence of aneurysm (arrow, class III). Intraoperative image (d) showed recurrent aneurysm sac (dotted line), and temporary clipping was applied for exploration of aneurysm sac. Permanent clipping was done, and there was no remnant sac (e). On post-operative 3D reconstructive image (f), no remnant sac was noted. Acom = anterior communicating artery

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