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Fig. 2 | CVIR Endovascular

Fig. 2

From: Endovascular treatment of visceral artery and renal aneurysms (VRAA) using a constant mesh density flow diverting stent

Fig. 2

a) 2.4 cm Heavily calcified hepatic artery / gastroduodenal artery aneurysm (large arrgow). Common hepatic (small arrow) and gastroduodenal arteries (arrowheads). b) Angiography performed via a Cobra-2 catheter (arrow) demonstrating a wide neck unsuitable for conventional coil embolization c). An 088 Neuronmax (arrow) was advanced beyond the origin of the aneurysm. d) 5Fr Sofia catheter (arrow) acted as the intermediate catheter. The Neuronmax was retracted to the proximal aneurysm neck (arrowheads). e to g) Retraction of the Surpass delivery system (arrowheads with distal and proximal radio opaque markers) over a wire (arrow in e) into the Neuronmax (large arrow) resulting in adequate deployment of the Surpass stent (arrows in f). h) Final angiogram demonstrates stent patency and reduced aneurysm flow and stagnation (arrowheads). Note the ghost image of the calcified aneurysm rim after subtraction (arrow)

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