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We read with interest the case report by Kumar et al published online in June 2022.1 The authors deployed a flow diverter stent (FDS) (Silk Vista Baby, Balt, Montgomery, France) on a ruptured dissecting aneurysm of the right posterior cerebral artery. In the following days an extensive remodeling of the FDS was evident, including both dilation at the base of the aneurysm and stenosis at the proximal end (so-called fish-mouthing), the latter due to spasm of the basilar artery. Despite resolution of the spasm, the proximal stenosis did not resolve. The FDS prevented further re-bleeding; however, the patient eventually died from …
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
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