OCIN Cases
As a library of extensive cases, OCIN Cases offer elegant and advanced reference and “take home” knowledge kit to improve your clinical practice.
OCIN CASES 25: Microaneurysm of the basilar tip artery
Operators: Prof. Rui Zhao & Prof. Qiao Zuo, Reviewer: Prof. Yi Xu
A 55-year-old female patient suffered spontaneous subarachnoid hemorrhage. It was diagnosed with a tiny ruptured aneurysm on the basilar tip artery by DSA. Then the patient underwent coil embolization procedure for the ruptured aneurysm. During the procedurae, it was found to be a wide-necked aneurysm, and the double microcatheter technique was used to fill two coils. The final angiography showed the complete occlusion of the aneurysm.
OCIN CASES 24: Intraoperative rupture in stent-assisted coiling of a middle cerebral artery aneurysm
Operator: Prof. Qiang Li, Reviewer: Prof. Jianmin Liu, Author: Prof. Nan Lv
A fifty-five years old male patient suffered from subarachnoid hemorrhage and was diagnosed with bilateral middle cerebral artery aneurysms. Intraoperative rupture occurred during stent-assisted coiling of the right side aneurysm. Bleeding was stanched immediately and the patient recovered well in the follow-up.
OCIN CASES 23：Endovascular treatment for the ruptured aneurysm located at the earlier frontal branch origin of left MCA
Operator: Prof. Kaijun Zhao, Reviewer: Prof. Jianmin Liu
A 37-year-old male patient with sudden headache for 6 hours was admitted into our department with the diagnosis of subarachnoid hemorrhage, and the ruptured aneurysm was located at the earlier frontal branch originating from left MCA, which was successfully treated with coiling and the salvaging stent implantation. The patient was independent with an mRS score of 0 at discharge and 6-month follow-up.
OCIN CASES 22：Endovascular treatment for ruptured true anterior choroidal artery tiny aneurysm
Operator: Prof. Kaijun Zhao, Reviewer: Prof. Jianmin Liu
A 31-year-old male patient with sudden headache for 3 hours was admitted into our department with the diagnosis of subarachnoid hemorrhage arising from ruptured true anterior choroidal artery tiny aneurysm, then this aneurysm was successfully treated with coiling in acute stage, followed by a delayed Lvis stent implantation after one month.
OCIN CASES 21: Anterior Communicating Artery pseudoaneursym
Operators: Prof. Qiao Zuo & Prof. Rui Zhao, Reviewer: Prof. Yi Xu
A 67-year-old male patient suffered spontaneous subarachnoid hemorrhage and the first DSA examination did not show any cerebrovascular disease. The patient suffered bleeding again after 2 weeks and was diagnosed with a tiny ruptured aneurysm on anterior communicating artery by DSA. Then the patient
OCIN CASES 20: Progressive thrombosis in embolization of the ruptured AcomA bifurcation aneurysm
Operator: Prof. Kaijun Zhao, Reviewer: Prof. Jianmin Liu
A fifty years old male with sudden headache for 1 hour was admitted into our department with the diagnosis of spontaneous subarachnoid hemorrhage, originating from the ruptured AcomA-AN，then acute intraoperative thrombosis occurred during endovascular treatment with coiling, which was successfully s
OCIN CASES 19: Endovascular therapy of Vertebrobasilar Dolichoectasia
Operator: Prof. Yi'na Wu, Reviewer: Prof. Qinghai Huang
A 57-year-old male experienced a sudden onset of movement disorders of the right side with slurred speech 15 months ago. His condition improved after receiving thrombolytic treatment at a local hospital with slurred speech left untreated. He had another sudden onset of movement disorders of the left
OCIN CASES 18: Stent-assisted coiling of a dissecting aneurym of posterior cerebral artery
Operator: Prof. Rui Zhao, Reviewer: Prof. Jianmin Liu
A 62-year-old male with the chief complaint of weakness of left limbs for 3 months and found intracranial aneurysm for 1 month, was diagnosed with the right PCA-P1 segment aneurysm, which was successfully treated with braided stent-assisted coiling.
OCIN CASES 17: Stent-assisted coiling for basilar artery-superior cerebellar artery aneurysm (BA-SCA)
Operator: Prof. Lei Zhang, Reviewer: Prof. Jianmin Liu
A sixty-five years old female with the chief complaint of headache was diagnosed with multiple intracranial aneurysms. The patient did not follow the advice to receive a second-stage treatment of BA-SCA aneurysm. Stent-assisted coiling was performed after the follow-up images revealing the growth of
OCIN CASES 16: Endovascular treatment for large aneurysm of the proximal (M1) segment of the middle cerebral artery
Operators: Prof. Guoli Duan & Prof. Qinghai Huang, Reviewer: Prof. Jianmin Liu
A 31-year-old male with the chief complaint of "headache for more than 1 month" was admitted to our hospital. MRA performed in another hospital revealed a large dissecting aneurysm at M1 segment of the right MCA. Cerebral angiography and flow diverter-assisted coiling were performed following full p
OCIN CASES 15: Flow diverter for the treatment of traumatic ophthalmic segment aneurysm of right internal carotid artery
Operator: Prof. Chao Zou, Reviewer: Prof. Jianmin Liu
A 17-year-old male patient with the chief complaint of found intracranial aneurysm for more than 1 month, since suffering a head trauma from a traffic accident 3 months ago, was diagnosed with the traumatic ophthalmic segment aneurysm of right internal carotid artery (ICA), which was successfully tr
OCIN CASES 14: Treatment of unruptured large intracranial vertebral artery dissecting aneurysm（VADA） by implantation of flow diverting device
Operator: Prof. Kaijun Zhao, Reviewer: Prof. Qinghai Huang
A fifty-three years old male with the diagnosis of unruptured intracranial spontaneous large VADA for headache for 3 weeks underwent the treatment of the flow-diverter (Pipeline) implantation, and postprocedural MRA (3 days later) indicated the complete occlusion of VADA and patency of the stented
OCIN CASES 13: Endovascular treatment for repeated ischemic attack due to vasospasm following aneurysmal SAH
Operators: Prof. Ying Yu & Prof. Yibin Fang, Reviewer: Prof. Jianmin Liu
A forty-year-old female with SAH caused by ruptured left carotid paraclinoid aneurysm experienced repeated ischemic attacks due to vasospasm, which was then treated by intra-arterial vasodilator infusion and balloon angioplasty. The patient recovered after the treatment without any functional defici
OCIN CASES 12: Stent-assisted coiling for a complex aneurysm at the middle cerebral artery bifurcation
Operators: Prof. Xiaodong Deng & Dongwei Dai, Reviewer: Prof. Bo Hong
A fifty-seven years old female with the chief complication of dizziness for 2 weeks was diagnosed with MCA bifurcation aneurysm. The MCA branch trifurcates in the M2 segment. The aneurysm has an irregular shape and a daughter sac. Stent-assisted coiling was performed (to embolize the aneurysm), with
OCIN CASES 11: Flow diverter for recanalized blood blister-like aneurysm of right ICA
Operator: Prof. Yibin Fang, Reviewer: Prof. Yi Xu
A 55-year-old female patient with the sudden onset of headache was admitted to the local hospital on June 3, 2020. She was diagnosed with subarrachnoid hemarrhage(SAH) and the right ICA blood blister-like aneurysm(BBA). The stent-assisted coiling was performed. The postoperative angiography revealed
OCIN CASES 10: Dual microcatheter technique for coiling of a ruptured internal carotid artery bifurcation aneurysm
Operators: Prof. Chuanchuan Wang & Qiang Li, Reviewer: Prof. Jianmin Liu
A 71-year-old female patient was admitted to our hospital for “sudden onset of headache for 16 hours”. The lady was diagnosed as subarachnoid hemorrhage and multiple intracranial aneurysms. Among the multiple aneurysms, there was a right internal carotid artery bifurcation aneurysm which was treated
OCIN CASES 9: Distal aneurysm harboring posterior inferior cerebellar artery
Operator: Prof. Zifu Li, Reviewer: Jianmin Liu
A forty-five years old female presenting with vomitting，headache with occipital pain for 3 hours was diagnosed with the poterior inferior cerebellar artery aneurysm, which was successfully treated with single coiling and parent artery occlusion.
OCIN CASES 8: Endovascular treatment for multiple intracranial aneurysms
Operator: Prof. Yinying Zhang, Reviewer: Prof. Jianmin Liu
A 67 years old female patient was diagnosed with multiple intracranial aneurysms, including anterior communicating aneurysm, bilateral middle cerebral artery bifurcation aneurysms and left internal carotid artery paraclinoid aneurysm. According to the location, size, shape and technical requirements
OCIN CASES 7: Stent assisted coiling with low profile braided stent for distal anterior artery aneurysm
Operator: Prof. Qiang Li, Reviewer: Prof. Jianmin Liu
A fifty-year-old female patient was admitted due to headache for one month and wide-neck aneurysm on distal anterior cerebral artery (Bi-hemispheric ACA) was revealed by MRA and DSA. Bilateral pericallosal arteries were both involved by the aneurysm, which was embolized by low profile braided stent
OCIN CASES 6: Stent-assisted coiling in the management of ruptured R-Fetal PCA aneurysm
Operators: Prof. Xiaoxi Zhang & Prof. Pengfei Yang, Reviewer: Prof. Jianmin Liu
A 71-year-old female patient with the chief complaint of sudden severe headache for 3 hours was diagnosed with R-PcomA (right posterior communicating artery) aneurysm. No special medical history was recorded. Considering the absence of P1 segment and significance of R-PcomA preservation, stent-assis