Fig 2.

Case 1.

A, Left internal carotid artery (ICA) angiogram showing a 3-mm left middle cerebral artery (MCA) bifurcation aneurysm.

B, Left ICA angiogram after complete aneurysm occlusion with 2 coils (GDC-10: 3 × 6, 2 × 4). Note the occlusion of the small neighboring arterial branch M2 (arrowhead).

C, Left ICA angiogram, lateral view, late arterial phase after selective intra-arterial thrombolysis (1 Mio IU urokinase) still showing a small perfusion deficit. The MCA was partially filled in a retrograde manner through cortical vessels, thus avoiding larger infarction. Outcome according GOS at 6 months was GR.