With Erez Nossek, MD
Nice example of coil/Pipe Shield treatment. Presentation is subacute rupture — patient presented 2.5 weeks later for treatment. No treatment was performed at time of original rupture. ACOM is post rupture. MCA is incidental
Post coil — this is very good but incomplete coiling for sure — but that’s what plug and Pipe is about.
Post Pipe Shield
MCA — important to oversize the pipe a bit here. See how the M1 proximally is not as wide as distally? Why is that? What are the implications for Rx?
Post — stasis in the MCA one
BTW, this is one of those bifurcationless MCAs — everything is coming from a single trunk.