Fig. 3.

Follow-up left vertebral angiogram (A) at 5 months after coil packing of the left VADA demonstrating its further growth. Postoperative skull radiograph (B) shows triple overlapping stents and coil mass on the left vertebral artery after further coil packing of the two growing pseudosacs and bailout stenting using an Enterprise stent. White arrows indicate proximal and distal end of the triple stents. Postoperative angiograms (C and D) show near complete obliteration of the VADA and sparing of left PICA flow. VADA : vertebral artery dissecting aneurysm, PICA : posterior inferior cerebellar artery.