Fig. 5.

Patient presenting with 2 unruptured aneurysms over the ophthalmic segment of the left internal carotid aneurysm. History of a ruptured left bifurcation aneurysm. The MAFA ratio (0.68) was able to predict the radiologic evolution of the patient. A, 3DRA from DSA of the left carotid artery. B, DSA, right ICA injection, lateral view. Pretreatment imaging. C, XperCT (Phillips Healthcare). Lateral view. Image after FDS implantation at the level of the ICA covering the aneurysm neck region. Pipeline embolization device. D and E, DSA, left ICA injection, lateral view. Posttreatment imaging. Observe the contrast stagnation inside the aneurysm after the FDS placement. F, 3DRA from the DSA imaging of the left carotid artery. Control angiogram at 6 months shows complete vascular remodeling.