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Fig. 1 | CVIR Endovascular

Fig. 1

From: Endovascular flow-diversion of visceral and renal artery aneurysms using dual-layer braided nitinol carotid stents

Fig. 1

Large wide necked splenic artery aneurysm. a and b An incidentally detected 39 mm partially calcified wide (white arrows) necked (14 mm) splenic aneurysm was seen to arise from the midportion of a tortuous splenic artery. c after difficulty obtained stable access using a 6Fr NeuronMAX 088 guide sheath (thin white arrow) the aneurysm was accessed with a Headway Duo microcatheter and the CASPER stent (thick black arrow) deployed over an 0.014 in. microwire. The marker of the CASPER deployment system (thin black arrow) can be seen during unsheathing of the stent. d The 6Fr NeuronMAX 088 guide sheath remained stable in position (thin white arrow) after CASPER stent deployment (thick black arrow). A 5Fr Sofia intermediate catheter was used to navigate through the stent. An angiogram performed via the 5Fr Sofia demonstrates patency of the distal splenic artery (small black arrows). e 24 mm coils were subsequently loosely packed into the aneurysm to promote thrombosis (white arrow heads). f The final angiogram demonstrates patency of the stent and distal splenic artery and its branches with stasis seen within the aneurysm sac

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