A middle-aged patient presenting with a ruptured aneurysm of the anterior communicating artery (measuring 7 × 4 mm), treated using coiling via left TRA. A, The right common carotid artery was catheterized using a Simmons shaped catheter via left TRA; then, a guiding catheter (B) was advanced over it. C, An angiogram of the right ICA highlights the irregular aneurysm of the anterior communicating artery. D, An angiogram of the right ICA shows the total occlusion of the aneurysm.