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Fig. 3 | CVIR Endovascular

Fig. 3

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

Fig. 3

Complex distal splenic artery anerysm. a Initial angiography demonstrated a wide necked bilobed splenic artery aneurysm (thin white arrow) arising at a bifurcation and incorporating 2 outflow arteries. Note the presence of a 6Fr NeuronMAX 088 guide sheath (black arrow) and 5Fr Sofia (thick short white arrow) within the lateral lobe of the aneurysm. The medial outflow artery (thinnest white arrow) was targeted for sacrifice. b using a microcatheter (thick white arrow) the medial branch was coil sacrificed using detachable Target 360 XL coils. Note the aneurysm (thin white arrow). c following coil deployment (thin white arrows). d Overlapping CASPER stents (white arrows) were subsequently deployed across the aneurysm neck. Note two points of stent narrowing proximally and distally (thick white arrows) with ongoing occlusion of the medial branch (black arrow). e Angioplasty using an 8 × 40 mm Armada balloon (white arrows) resulted in f marked improvement of luminal diameter and angiographic appearances. g Distal splenic branches remained patent (arrowheads)

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