Fig. 1.

Case 1: Conventional angiography of the left VA performed at the time of admission showed aneurysmal dilation on the left VA involving the PICA origin (a: frontal view, b: lateral view, arrow: dilation). Conventional angiography of the right VA after proximal occlusion of the left VA and endovascular coiling showed persistent retrograde flow to the residual aneurysm and left PICA (c: frontal view, d: lateral view). Follow-up angiography of the right VA performed 6 months later revealed enlargement of the residual aneurysm (arrow). Filling was via the contralateral right VA (e: frontal view, f: lateral view). VA: vertebral artery, PICA: posterior inferior cerebellar artery.