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4A 3 2 Post-treatment syngo DynaCT, oblique VRT reconstruction, 4B 4C 2A 2B Standard intraprocedural roadmap DSA (A), overlapped with syngo InSpace 3D rotational angiography (B) utilizing the syngo iPilot system, allow a more accurate live 3D intravascular navigation during the release of the PED. Distally, the microwire extends above the tip of the microcatheter (arrow) inside the middle cerebral artery. The PED, slightly radio-opaque, is progressing within the microcatheter, still unsheated (arrowheads). showing the PED well deployed across the aneurysmal neck inside the parent artery, covering the ophthalmic artery origin. The aneurysmal sac is faintly opacified by contrast stagnation (arrows). 3 The corresponding axial images of pre-treatment Time-of-flight-MR (A) and post-treatment syngo DynaCT (B) at the level of caudal edge of the aneurysmal neck. The image obtained by the fusion process with syngo InSpace 3D/3D Fusion between the two techniques (C) enhanced the anatomical relationship between the device and the surrounding anatomical structures. Note the excellent visualization of the ophthalmic artery (arrow in A and C), and of the PED, highly radiolucent, fully deployed (B and C). 4 Six-month follow-up DSA shows complete occlusion of the paraophthalmic aneurysm with normal opacification of both the ophthalmic (arrow) and the parent arteries. 5 5 syngo iPilot Angiography AXIOM Innovations | December 2013 | www.siemens.com/angiography  29


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