Balloon-Assisted Coiling of Large Internal Carotid Artery (ICA) Bifurcation Aneurysm: Assessment of Neck
A 52-year-old male was shifted from another hospital with a diagnosis of subarachnoid haemorrhage. His clinical condition was poor with a Hunt and Hess grade of IV. CT scan showed Fisher grade IV haemorrhage with haematoma in left basal ganglia. Ventricular dilatation was seen, and emergency placement for external ventricular drain was performed to reduce the intracranial pressure. DSA (Fig. 11.1) revealed a large left ICA bifurcation aneurysm. Balloon-assisted coiling was planned.