Unruptured 4.5 millimetre medially projecting transitional aneurysm of the left internal carotid artery, carotid cave, likely totally or in part intra dural. Patient elects for treatment.
Informed consent obtained in clinic. Pre-medicated with 100mg Aspirin and 75 mg Clopidogrel for 4 days. Sterile technique. Right 6-F CFA retrograde sheath. Systemic heparinisation. Diagnostic angiography confirm no change from the recent study.
6-French Cook shuttle sheath into the left internal carotid artery, 6-French neuron guide catheter, SL 10 90\XB0\, and Scepter C 4 x 10 balloon catheter placed. Balloon remodelling-5 coils placed, Target 360 standard, soft, and Ultra soft respectively: 4 x 15:3 x 6:2 x 4, 2 x 4, 2 x 3 Raymond class 1-complete obliteration aneurysm, no major graphic complication, no stent placed.
No coil related or embolic complications detected.