Ophthalmic Artery Aneurysm: Subarachnoid Hemorrhage and Visual Disturbance due to a Ruptured Intracranial and Intracanalicular Ophthalmic Artery Aneurysm; Endovascular Remodeling of the Ophthalmic Artery via Flow Re-Direction Endoluminal Device (FRED Jr.); Resolution of the Visual Disturbance; Short-Term Clinical and Radiological Follow-Up

  • Stanimir SirakovEmail author
  • Alexander Sirakov
  • Hans Henkes
Living reference work entry


A ruptured saccular intracranial and intracanalicular aneurysm of the ophthalmic artery was found in a 27-year-old male patient with no relevant medical history. He presented to the hospital 2 days after the onset of a thunderclap headache, nausea, some vomiting, subconjunctival hemorrhage, and nonprogressive visual loss in his left eye. After balloon occlusion test run, the patient underwent elective treatment of the true aneurysm of the ophthalmic artery in which a Flow Re-direction Endoluminal Device (FRED Jr.; MicroVention) was inserted. DSA follow-up examinations at 3 and 6 months confirmed complete obliteration of the target aneurysm as well as a completely remodeled left ophthalmic artery. The visual acuity of the left eye improved to finger-count status. The main topic of this chapter is the management of a rare case of a ruptured intracranial and intracanalicular aneurysm of the ophthalmic artery, which was treated with a flow diverter stent.


Ophthalmic artery Intracanalicular ophthalmic segment Intracranial ophthalmic segment visual disturbance Balloon test occlusion Flow diversion FRED Jr. 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Stanimir Sirakov
    • 1
    Email author
  • Alexander Sirakov
    • 1
  • Hans Henkes
    • 2
  1. 1.NeuroradiologyUniversity Hospital St. Ivan RilskiSofiaBulgaria
  2. 2.Neuroradiologische KlinikNeurozentrum, Klinikum StuttgartStuttgartGermany

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