Dr. Dai

Endovascular therapy of Long segment occlusion of the vertebral artery V3-V4

@bobvarkey @PascalJabbourMD given the SAH presentation, matching location, and size exceeding 3 mm, I'd treat this as a ruptured aneurysm and proceed with endovascular coiling ASAP

Would love to hear your opinion @PascalJabbourMD @daigaole

Always, a difficult problem, the differentiation between an infundibulum and a true aneurysm of the posterior communicating artery. This 🧔‍♂️ presents with a subarachnoid haemorrhage in the left suprasellar cistern DSA shows an infundibulum/ aneurysm of the left PCom. To coil or not was a conundrum. Every expert has a different take One says repeat a control Angio after a week Another asks for vessel wall imaging . The literature says anything over 3 mm is an aneurysm… The size is 3.4 mm x 2.6 and it is located in the region of the bleed. What would you do?

Recurrent slurred speech and left limb weakness for more than 3 months.

A Case of MCA occlusion

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Two different cases of carotid artery dissection

The last two elective surgeries of the Chinese Lunar Year of the Snake（2025)

angioplasty

There is severe ISR, will you choose direct angioplasty? Or other technologies?

Two years ago, a female patient with symptomatic middle cerebral artery stenosis underwent stent placement. We present her clinical course over the past two years.

What is the lesion indicated by the arrow? How do you deal with such case？

@daigaole Occlusion

@baobui99 It is not the blind end of the occlusive branch.

🇨🇳📰Chinese guidelines for diagnosis and treatment of intracranial atherosclerotic stenosis Primary Strategies for ICAS: 📌Symptomatic: intensive medical management 📌Asymptomatic: control of vascular risk factors Read more here👇 journals.sagepub.com/doi/abs/10.117…