Fig. 1
From: Volume embolization ratio of coiled cerebral aneurysms, does awake technique affect the results?
LA case 41-year-old lady presented to our hospital by SAH from ruptured AcomA aneurysm H&H = 1. A Non-enhanced axial CT brain showed diffuse SAH with main cast at the anterior interhemispheric fissure, B, C preoperative CT angiogram with 2D showed small narrow neck AcomA aneurysm directed anteroinferiorly with the following dimensions (3.2 × 4.3 × 2.2 mm), D preoperative CT angiogram volume rendering 3D reformate demonstrating the shape and direction of the AcomA aneurysm, E, F preoperative and completion (End of procedure) DSA A–P view showing the AcomA aneurysm before and after complete obliteration (CO) under LA, G, H post-coiling axial CT brain showed the metallic coil artifact with no post-procedural sequelae, I, J 1-year postprocedural FU DSA, MRA that showed stable complete obliteration of the aneurysm (CO).