Quadri-axial Technique to Gain Access for Flow Diverter Deployment

  • Rajsrinivas Parthasarathy
  • Vipul Gupta


A 64-year-old lady presented with headaches, facial pain, and left ptosis. Investigation revealed giant left internal carotid artery (ICA) aneurysm (Fig. 25.1). DSA and 3D angiography showed a wide-neck aneurysm. Inadequate flow across anterior and posterior communicating arteries was seen, and the case was planned for flow diverter stent placement (Surpass, Stryker).

Suggested Reading

  1. Hauck EF, et al. Use of the outreach distal access catheter as an intracranial platform facilitates coil embolization of select intracranial aneurysms: technical note. J Neurointerv Surg. 2011;3(2):172–6.CrossRefGoogle Scholar
  2. Lin L-M, et al. Pentaxial access platform for ultra-distal intracranial delivery of a large-bore hyperflexible DIC (distal intracranial catheter): A technical note. Neurosurgery. 2016;6:29–34.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Rajsrinivas Parthasarathy
    • 1
  • Vipul Gupta
    • 2
  1. 1.Vascular Neurology and Neurointerventional SurgeryArtemis Agrim Institute of NeuroscienceGurgaonIndia
  2. 2.Neurointerventional Surgery, Stroke unitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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