We offer the latest in endovascular coiling technologies, including extensive use of remodeling techniques for wide neck aneurysms. This includes stent and balloon assist. We are utilizing the newest coated coils, as well as intracranial stents. PNC currently has the highest percentage of patients in the Northwest treated by endovascular techniques – more than 75% – not requiring open surgery. We are also constantly re-evaluating new technologies to further improve aneurysm treatment.

76 year-old female presents with severe midline HA’s and ataxia. Workup reveals unruptured moderately wide neck 13 mm basilar tip aneurysm. Pre & Post coiling.

65 year-old female presents with SAH, H & H grade III. Angiography reveals 5mm Basilar tip aneurysm with moderate sized neck. Pre & Post GDC coiling.

48 year-old female, SAH grade 3. A)Wide necked vertebrobasilar junction bilobed aneurysm. B)Balloon remodeling technique utilized. C)VBJ aneurysm 1year later with contrast MRA. (Angiogram also performed shows stable result.)

34 year-old female with SAH , grade II, and Right carotid terminus aneurysm. Pre and post. Balloon remodel.

53 year-old female with severe headaches and multiple bilateral proximal carotid aneurysms in the cavernous and superior hypophyseal area. This ophthalmic aneurysm on the left was coiled. A)Pre, B)Post

51 year-old female, SAH , H & H grade III. Peanut shaped ACOMM aneurysm. GDC Coiling results in complete obliteration of aneurysm with good preservation of parent vessels. A)Pre, B)Post

SAH Grade III, 63 year-old female, crack cocaine user. 8mm ACOMM aneurysm. Moderate sized neck and tortuous access. Good filling of both A2 vessels post GDC. A)Pre, B)Post

40 year-old male, subarachnoid hemorrhage, grade 1, pericallosal aneurysm, pre and post coil.

48 year-old female SAH, grade II. Angiography discovers 3 aneurysms, right pericallosal (probably ruptured), left P Comm, and
3mm right MCA. The first 2 are coiled within a few days of each other, the R MCA will be watched for growth.

Giant Cavernous Aneurysm of RICA. Pt. complained of TIAs including L arm weakness, as well as R periorbital pain and frequent headaches. A)MRA delineating aneurysm, B)Angio at beginning of coil procedure, C)Post angio result. Pt.s headaches and pain gone after 3 months.

45 year-old female with incidental left MCA aneurysm discovered after her mother had 2 aneurysms. Pre and Post GDC Coiling.

62 year-old female with SAH, grade I – II. Superior Hypophyseal aneurysm 15mm, with 4mm neck. Pre and Post coil.