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Endovascular management of a giant aneurysm through saphenous vein graft after extracranial–intracranial bypass: case report and literature review
  1. Paritosh Pandey,
  2. Mahmoud Rayes,
  3. David Hong,
  4. Murali Guthikonda,
  5. Andrew Xavier
  1. Department of Neurological Surgery, Wayne State University, Detroit, Michigan, USA
  1. Correspondence to Dr A Xavier, Department of Neurological Surgery, Wayne State University, 4160 John R, #930, Detroit, MI 48201, USA; axavier{at}


It is known that giant intracerebral aneurysms have a high rupture and mortality rate. Furthermore, their optimal treatment method is not straightforward. While traditionally they have been managed with surgical clipping, it is not always possible. A unique case is presented in which a patient with multiple intracranial aneurysms was treated using a multimodality approach. After an intracranial–extracranial bypass, the left internal carotid artery ophthalmic aneurysm continued to grow on follow-up angiogram. Thus it was decided to go ahead with coiling of the aneurysm. The coils were delivered through the saphenous vein graft. The patient tolerated the procedure well and there were no procedural complications.

  • Aneurysm
  • Coil
  • Technique

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  • Correction notice This article has been corrected since it was published Online First. The section head History has been amended to Hemorrhagic stroke.

  • Competing interests None.

  • Patient consent Not obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.