Successful obliteration of a wide-necked carotid terminus aneurysm with an eCLIPs flow diverting device: A case report and review of literature.

Intracranial wide-neck bifurcation aneurysms are challenging to treat with conventional endovascular coiling and stenting techniques. Flow diverting devices can provide adequate neck coverage but risk branch vessel ischemia or stroke. We report the case of a 49-year-old man with an incidental wide-neck internal carotid artery terminus aneurysm, treated successfully with a stand-alone eCLIPs implant-a novel hybrid stent-like device that preserves flow across the parent arteries. At 5 months of follow-up, diagnostic angiography demonstrated complete aneurysm occlusion, and the patient remained neurologically intact. In carefully selected cases of shallow wide-neck bifurcation aneurysms, stand-alone eCLIPs device treatment may be considered as an alternative to standard flow diversion, particularly when the patency of branch or perforating vessels is paramount.