WLNC 2018 ISTANBUL CASES
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1 WLNC 2018 ISTANBUL CASES
2 WLNC 2018 KOBE / ISTANBUL CASES
3 PT 1 NK 62 Y F Presented with dizziness 2 years ago MR-DSA: Falcotentorial Dural AVF WLNC 2018 KOBE / ISTANBUL CASES
4 MRI 2017 WLNC 2018 KOBE / ISTANBUL CASES
5 DSA WLNC 2018 KOBE / ISTANBUL CASES
6 WLNC 2018 KOBE / ISTANBUL CASES
7 TREATMENT PLAN Transarterial access Embolisation with liquid embolic agent (Phil) Non or Detachable tip microcatheter WLNC 2018 KOBE / ISTANBUL CASES
8 L ICA MHT Bernasconi-Cassinari artery WLNC 2018 KOBE / ISTANBUL CASES
9 Embolization Left ICA MHT Bernasconi-Cassinari artery WLNC 2018 KOBE / ISTANBUL CASES
10 Residual flow R PCA injection WLNC 2018 KOBE / ISTANBUL CASES
11 R PCA Davidoff-Schechter artery WLNC 2018 KOBE / ISTANBUL CASES
12 Embolization R PCA Davidoff-Schechter artery WLNC 2018 KOBE / ISTANBUL CASES
13 Post embolization WLNC 2018 KOBE / ISTANBUL CASES
14 PT 2 AAT 55 Y M Presented with headaches 5 years ago MRA & DSA: R PCA P2-P3 segment fusiform aneurysm without thrombosis Enlarged by time! WLNC 2018 KOBE / ISTANBUL CASES
15 MRI 2013 MRI 2018 WLNC 2018 KOBE / ISTANBUL CASES
16 DSA 2011 DSA 2017 WLNC 2018 KOBE / ISTANBUL CASES
17 WLNC 2018 KOBE / ISTANBUL CASES
18 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
19 TREATMENT Size of the aneurysm : 13x9 mm FD stent: FRED Jr. 3/32/27mm WLNC 2018 KOBE / ISTANBUL CASES
20 WLNC 2018 KOBE / ISTANBUL CASES
21 WLNC 2018 KOBE / ISTANBUL CASES
22 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
23 PT 3 YK 16 Y M Diagnosed incidentally after car accident 1 year ago CTA-MRA-DSA: L MCA fusiform aneurysm, MCA M1-M2 (mostly on upper truncus) WLNC 2018 KOBE / ISTANBUL CASES
24 DSA WLNC 2018 KOBE / ISTANBUL CASES
25 MRI WLNC 2018 KOBE / ISTANBUL CASES
26 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
27 TREATMENT Size of the aneurysm : 23x14 mm FD stent: Pipeline 4mm/35 mm WLNC 2018 KOBE / ISTANBUL CASES
28 WLNC 2018 KOBE / ISTANBUL CASES
29 WLNC 2018 KOBE / ISTANBUL CASES
30 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
31 PT 4 EK 64 Y F Presented with headaches MRA & DSA: R MCA M3 segment aneurysm and AcomA aneurysm WLNC 2018 KOBE / ISTANBUL CASES
32 MRA WLNC 2018 KOBE / ISTANBUL CASES
33 DSA WLNC 2018 KOBE / ISTANBUL CASES
34 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
35 TREATMENT Size of the aneurysm : 7x6 mm FD stent: FRED Jr. 2,5X13X8mm WLNC 2018 KOBE / ISTANBUL CASES
36 WLNC 2018 KOBE / ISTANBUL CASES
37 WLNC 2018 KOBE / ISTANBUL CASES
38 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
39 PT 5 CYY 58 Y F Presented by headache 12 years ago Mild renal insufficiency: Cr: 1,18 mg/dl, Urea: 69 mg/dl MRA-DSA: L MCA M1-M2 bifurcation aneurysm WLNC 2018 KOBE / ISTANBUL CASES
40 DSA WLNC 2018 KOBE / ISTANBUL CASES
41 DSA WLNC 2018 KOBE / ISTANBUL CASES
42 MRA WLNC 2018 KOBE / ISTANBUL CASES
43 TREATMENT PLAN WEB (Woven Endobridge) WLNC 2018 KOBE / ISTANBUL CASES
44 TREATMENT Size of the aneurysm : 4x4,5 mm WEB SL aneurysm embolization system 5/3 mm WLNC 2018 KOBE / ISTANBUL CASES
45 WLNC 2018 KOBE / ISTANBUL CASES
46 WLNC 2018 KOBE / ISTANBUL CASES
47 WLNC 2018 KOBE / ISTANBUL CASES
48 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
49 PT 6 IK 44 Y M 2006 Presented with headaches MRI & DSA: R PCA P2 segment fusiform aneurysm 2008 DSA no change 2017 DSA: progresive enlargement of lumen and thrombosed part of aneurysm WLNC 2018 KOBE / ISTANBUL CASES
50 DSA DSA WLNC 2018 KOBE / ISTANBUL CASES
51 MRI WLNC 2018 KOBE / ISTANBUL CASES
52 DSA WLNC 2018 KOBE / ISTANBUL CASES
53 MRA WLNC 2018 KOBE / ISTANBUL CASES
54 TREATMENT PLAN: Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
55 TREATMENT Size of the aneurysm : 16x7 mm FD stent: FRED Jr. 3/32/27 mm WLNC 2018 KOBE / ISTANBUL CASES
56 WLNC 2018 KOBE / ISTANBUL CASES
57 WLNC 2018 KOBE / ISTANBUL CASES
58 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
59 PT 7 FD 50 Y M Presented by headache 2 years ago MRA-DSA: R MCA aneurysm (unruptured) WLNC 2018 KOBE / ISTANBUL CASES
60 DSA WLNC 2018 KOBE / ISTANBUL CASES
61 MRA WLNC 2018 KOBE / ISTANBUL CASES
62 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
63 TREATMENT Size of the aneurysm : 7x6,5 mm FD stent: Pipeline 3mm/14 mm WLNC 2018 KOBE / ISTANBUL CASES
64 WLNC 2018 KOBE / ISTANBUL CASES
65 WLNC 2018 KOBE / ISTANBUL CASES
66 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
67 PT 8 KK 61 Y F Presented with headaches 3-years ago MRI & DSA: R MCA M2 segment aneurysm WLNC 2018 KOBE / ISTANBUL CASES
68 DSA WLNC 2018 KOBE / ISTANBUL CASES
69 MRI WLNC 2018 KOBE / ISTANBUL CASES
70 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
71 TREATMENT Size of the aneurysm : 7x5 mm FD stent: FRED Jr. 2,5/18/13 mm WLNC 2018 KOBE / ISTANBUL CASES
72 WLNC 2018 KOBE / ISTANBUL CASES
73 WLNC 2018 KOBE / ISTANBUL CASES
74 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
75 PT 9 MIE 42Y M Presented by headache 4 months ago MRA-DSA: R MCA M1-M2 segment trifurcation aneurysm WLNC 2018 KOBE / ISTANBUL CASES
76 MRA WLNC 2018 KOBE / ISTANBUL CASES
77 DSA WLNC 2018 KOBE / ISTANBUL CASES
78 TREATMENT PLAN Flow diverter stent WLNC 2018 KOBE / ISTANBUL CASES
79 TREATMENT Size of the aneurysm : 4,5x4 mm FD stent: Fred Jr 2,5/18/13 mm WLNC 2018 KOBE / ISTANBUL CASES
80 WLNC 2018 KOBE / ISTANBUL CASES
81 WLNC 2018 KOBE / ISTANBUL CASES
82 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
83 PT 10 YS 63 Y M Presented with TIA CTA-DSA: Bilateral ICA postbulbar segment stenosis L ICA postbulbar segment stenosis treated with stent 1 month ago WLNC 2018 KOBE / ISTANBUL CASES
84 CTA RİGHT LEFT WLNC 2018 KOBE / ISTANBUL CASES
85 L ICA STENT TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
86 R ICA stenosis WLNC 2018 KOBE / ISTANBUL CASES
87 TREATMENT PLAN Angioplasty /stent to R ICA WLNC 2018 KOBE / ISTANBUL CASES
88 TREATMENT Carotid Stent System : CASPER 8mm/30mm WLNC 2018 KOBE / ISTANBUL CASES
89 WLNC 2018 KOBE / ISTANBUL CASES
90 POST TREATMENT WLNC 2018 KOBE / ISTANBUL CASES
91 WLNC 2018 ANKARA CASES
92 35 yo, female Headache Right temporal AVM, grade II, with venous aneurysms Fed by two R MCA feeders and one post temp-pca feeder Complete intranidal flow control is targeted with DL balloon and two detachable catheters to close the AVM PT 1 WLNC 2018 KOBE / ANKARA CASES
93 WLNC 2018 KOBE / ANKARA CASES
94 WLNC 2018 KOBE / ANKARA CASES
95 MULTIPLUG INTRANIDAL FLOW CONTROL TECH WAS USED; A SCEPTER XC AND AN APOLLO FROM TWO MCA FEEDERS AND ANOTHER APOLLO WAS PLACED FROM THE PCA-POST TEMP FEEDER TO THE NIDUS AND BALLOON AND ONYX REFLUX PLUGS, ULTIMATE INTRANIDAL FLOW CONT WAS OBTAINED AND AVM WAS CLOSED RED ARROWS SHOWS THE SCEPTER AND APOLLO IN THE INF AND SUP R MCA FEEDERS BLUE ARROW SHOWS THE APOLLO IN THE PCA-POST TEMP FEEDER
96 WLNC 2018 KOBE / ANKARA CASES
97 WLNC 2018 KOBE / ANKARA CASES
98 PRE OP POST OP SIMULTANEOUS R CCA AND LEFT VA WLNC 2018 KOBE / ANKARA CASES
99 PT 2 58 yo, male Headache and recently increasing memory impairment Heavy smoker No history of trauma Giant partially clotted P1-P2 PCA aneurysm R MCA saccular aneurysm Dural AVF WLNC 2018 KOBE / ANKARA CASES
100 WLNC 2018 KOBE / ANKARA CASES
101 WLNC 2018 KOBE / ANKARA CASES
102 WLNC 2018 KOBE / ANKARA CASES
103 POST TREATMENT AFTER COILING AND LEO BABY PLACEMENT ACCROSS THE NECK: PLEASE NOTE THAT A NECK REMNANT WAS LEFT (ARROW) WLNC 2018 KOBE / ANKARA CASES
104 3 WEEKS CONTROL POST TX 3 WEEKS CONTROL TAKEN DURING THE R MCA ANEURYSM : NOTE THAT A NECK REMNANT WAS NOT FILLING ANYMORE WITH COMPLETE ANGIOGRAPHIC OCCLUSION (ARROW) WLNC 2018 KOBE / ANKARA CASES
105 3 WEEKS CONTROL; 3D DUAL VOLUME RECONSTRUCTION WLNC 2018 KOBE / ANKARA CASES
106 PT 3 49 yo, male Very intense headache 4 weeks ago. R MCA aneurysms with bleb Treated with WEB device... WLNC 2018 KOBE / ANKARA CASES
107 WLNC 2018 KOBE / ANKARA CASES
108 WLNC 2018 KOBE / ANKARA CASES
109 WLNC 2018 KOBE / ANKARA CASES
110 PT 4 72 yo, female Severe headache, recently worsened. R MCA saccular aneurysm treated with PIPELINE WLNC 2018 KOBE / ANKARA CASES
111 WLNC 2018 KOBE / ANKARA CASES
112 WLNC 2018 KOBE / ANKARA CASES
113 WLNC 2018 KOBE / ANKARA CASES
114 WLNC 2018 SHANGHAI CASES
115 PT 1 27 yo, Male Recurrent gross seizure for 1 year MRI & DSA revealed left frontal lobe AVM Transarterially Embolized 3 times during the past 6 months Transvenous Embolization of Frontal Lobe AVM WLNC 2018 KOBE / SHANGHAI CASES
116 MRI & DSA L-ICA AVM fed by branches of MCA, letiticulostriate arteries, branches of AchA, recurrent artery of Heubner and collateral arteries from ACA, and drained by Trolard Vein. WLNC 2018 KOBE / SHANGHAI CASES
117 After 3 rd Session of Transarterial Embo. L-ICA Having been transarterially embolized 3 times, 40% of AVM left. The residual AVM was fed by letiticulostriate arteries, branches of AchA, recurrent artery of Heubner and collateral arteries from ACA, and dominantly drained by Trolard Vein. WLNC 2018 KOBE / SHANGHAI CASES
118 4 th Session A Marathon Catheter was navigated into the recurrent artery of Heubner and 20% Glubran was injected. WLNC 2018 KOBE / SHANGHAI CASES
119 4 th Session Copernic 8/80 17*2 Headway A Copernic 8/80 balloon was inflated in the SSS to assist the navigation of 2 Headway-17 microcatheters into the drainage vein. Several coils were packed via a Headway-17 catheter to make a plug. A Scepter XC 4/11 and Hyperform 4/7 balloon were inflated in the right ACA and ICA terminal, respectively, to control the arterial blood flow. Coils Hyperform 4/7 Scepter XC 4/11 & WLNC 2018 KOBE / SHANGHAI CASES
120 4 th Session Onyx-18 was injected into the drainage vein and then infiltrated in the the nidus. WLNC 2018 KOBE / SHANGHAI CASES
121 After 4 th Session L-ICA Final control showed the nidus was totally obliterated with s small part of contrast filling in front of the nidus, suspecting a small part residual AVM. The patient was treated by continuous sendation for 72hrs with systolic blood pressure below 100mmHg. No neurological defect was detected except for drowsiness. WLNC 2018 KOBE / SHANGHAI CASES
122 1 wk follow up Follow up DSA showed the nidus was totally obliterated one week after the 4 th session. WLNC 2018 KOBE / SHANGHAI CASES
123 PT 2 45 yo, Female Recurrent dizziness and vomiting for 1 year Vertebral artery (V4) dissecting aneurysm Tubridge Flow diverter for Vertebral Artery Dissecting Aneurysm WLNC 2018 KOBE / SHANGHAI CASES
124 MRI & CTA Enhanced T1 WLNC 2018 KOBE / SHANGHAI CASES
125 DSA 3D reconstruction WLNC 2018 KOBE / SHANGHAI CASES
126 Procedure T-track & synchro 14 Tubridge 3.5 mm/35mm WLNC 2018 KOBE / SHANGHAI CASES
127 Procedure Xper CT WLNC 2018 KOBE / SHANGHAI CASES
128 Procedure WLNC 2018 KOBE / SHANGHAI CASES
129 PT 3 52 yo, Male Incidentally found intracranial aneurysm for 1 month Left MCA bifurcation aneurysm WLNC 2018 KOBE / SHANGHAI CASES
130 DSA WLNC 2018 KOBE / SHANGHAI CASES
131 Materials Envoy DA guiding catheter Headway 21 micro-catheter Echelon-10 micro-catheter Traccess 14 micro-wire LVIS stent Orbit coils WLNC 2018 KOBE / SHANGHAI CASES
132 WLNC 2018 KOBE / SHANGHAI CASES
133 WLNC 2018 KOBE / SHANGHAI CASES
134 PT 3 46 yo, Male Dizziness for 10 Days PE: (-) Basilar artery aneurysm TEG: AA 87.6%, ADP 94.3% WLNC 2018 KOBE / SHANGHAI CASES
135 Size: 11.22*15.38mm WLNC 2018 KOBE / SHANGHAI CASES
136 Microcathter in Position WLNC 2018 KOBE / SHANGHAI CASES
137 1 st Tubridge ( 6/45 )Deployment WLNC 2018 KOBE / SHANGHAI CASES
138 2 nd Tubridge ( 6/35 )Deployment
139 Contralateral vetebral artery occusion The immediate result 1W Follow-up
140
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