A 46-year-old male had a fusiform Type I aneurysm with irregular wall in the lateral medullary segment of left PICA. Because the BOT cannot be safely performed in the PICA, we performed a temporary occlusion test using a microcatheter.
The microcatheter occlusion test was successfully performed, and endovascular treatment was performed afterward. The patient remained symptom free after the embolization and at one-year follow-up.
The microcatheter occlusion test is an excellent option for performing an occlusion test for vessels that cannot accommodate a balloon because of their diminutive size.