Expert-Led Neurovascular Intervention at Shalby Hospital

Real People, Real Stories.

A large wide-neck supraclinoid ICA aneurysm with proximal tight stenosis, treated in a single staged session — stenosis relieved with a coronary stent, then the aneurysm sealed off with a flow diverter.

Treating physician: Dr. Tushit MewadaInterventional Neuroradiology
Centre: Shalby HospitalAhmedabad, Gujarat
Procedure date: 30 March 2026Single session
Outcome: Flow restoredEffective aneurysm diversion

Case at a Glance

Patient Details and Case Summary

53 yrsFemale patient presenting with a large wide-neck aneurysm

13.6 mmSupraclinoid ICA aneurysm, wide neck morphology

2-stageCoronary stent for stenosis, then flow diverter placement

1 sessionGood flow restoration achieved in the same sitting

The Challenge

Two problems in one vessel

The patient presented with a 13.6 mm wide-neck aneurysm of the supraclinoid internal carotid artery — large enough that simple coiling would not hold, and with a neck too broad to support a stable construct on its own.

Complicating access, a tight stenosis sat proximal to the aneurysm. Any device intended for the aneurysm had to cross that narrowing first, and a flow diverter cannot appose properly through a constricted segment.

The sequence therefore mattered as much as the hardware: relieve the stenosis, confirm the channel, and only then commit to diversion across the aneurysm neck.

The Approach

How the case was built

Access and navigation
Ballast long sheath with CAT 5 DAC support, tracked over a Synchro double-length guide wire.
Stenosis crossed and stented
Onyx Frontier coronary stent (3 × 12 mm) deployed across the proximal tight stenosis.
Post-dilatation
NC Trek Mini balloons (3 × 12 and 4 × 12 mm) used to optimise stent apposition and lumen gain.
Flow diverter deployment
Hemoryder 027 microcatheter used to place FlowVia (4 × 24 mm) across the aneurysm neck.
Flow confirmed
Good antegrade flow restoration with effective diversion away from the aneurysm sac.

Devices & Materials Used

Solutions Designed for Confidence

Component	Device used
Long Sheath	Ballast
DAC	CAT 5
Guide Wire	Synchro double length
Micro Catheter	Hemoryder 027
Coronary Stent	Onyx Frontier (3 × 12)
Coronary Balloon	NC Trek Mini 3 × 12 and 4 × 12
Flow Diverter	FlowVia (4 × 24)

Pre & Post Imaging

Focused Innovation, Expanding Possibilities

Pre-ProcedureDSA — lateral

Pre-procedure imaging — Expert-Led Neurovascular Intervention at Shalby Hospital

Large wide-neck supraclinoid ICA aneurysm measuring 13.6 mm, with a tight stenosis sitting proximal to the sac and limiting antegrade flow through the segment.

Post-ProcedureDSA — after diversion

Post-procedure imaging — Expert-Led Neurovascular Intervention at Shalby Hospital

Following stenting and FlowVia deployment, the parent vessel carries good restored flow and contrast is diverted away from the aneurysm sac across the reconstructed neck.

Clinical Outcome

Comments from the treating team

Treating physician
Interventional Neuroradiology

“

A 53-year-old female with a large wide-neck supraclinoid ICA aneurysm (13.6 mm) and proximal tight stenosis. Treated with a coronary stent for the stenosis, followed by flow diverter placement. Good flow restoration with effective aneurysm flow diversion achieved.

Dr. Tushit MewadaShalby Hospital, Ahmedabad

Products Featured in This Case

Solutions Designed for Confidence

Used in this case

FlowVia™

Flow Diverter

A next-generation flow diverter engineered for precision and dependability. FlowVia reroutes blood flow to promote vessel healing while maintaining safety and control in complex neurovascular procedures.

Size deployed: 4 × 24 mm
Delivered via: Hemoryder 027

Globefish™

Expandable Neuro Coil & Embolic Neuro Coil

Designed with a unique polymer core that expands on hydration. Globefish achieves higher packing density and long-term stability, enabling effective aneurysm occlusion with confidence.

Category: Embolisation
Availability: On request

Explore Our Products