TY - JOUR T1 - Endovascular management of a giant aneurysm through saphenous vein graft after extracranial–intracranial bypass: case report and literature review JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 361 LP - 363 DO - 10.1136/jnis.2011.004739 VL - 3 IS - 4 AU - Paritosh Pandey AU - Mahmoud Rayes AU - David Hong AU - Murali Guthikonda AU - Andrew Xavier Y1 - 2011/12/01 UR - http://jnis.bmj.com/content/3/4/361.abstract N2 - 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. ER -