Fig 2.

A, A young female patient with a mycotic aneurysm (arrow) of the left middle cerebral artery intractable to antibiotic treatment. B, The fusiform aneurysm (arrow) measures 8 × 7 mm and originates from the angular artery. The patient failed a balloon-test occlusion of the angular artery and was considered for flow-diverter treatment. Conebeam CT (C) shows the aneurysm treated with 2 overlapping Surpass FDs (2 × 15 and 2 × 10 mm, arrows). Follow-up angiogram (D) shows excellent parent artery flow and filling of the aneurysm. Six-month follow-up angiogram (E) shows a complete aneurysm occlusion. Note that a second FD device had to be implanted because the first one did not cover the entire lesion. This was related to poor visibility of the first generation of the FD, which did not have platinum markers, which were added to the second generation of the implant.