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Robert A. Mericle, Ajay K. Wakhloo, Demetrius K. Lopes, Giuseppe Lanzino, Lee R. Guterman and L. Nelson Hopkins

that only 23 to 26% of the endosaccular volume is replaced by coils, even under ideal circumstances with tight angiographic “over-packing” confirmed in multiple planes. 29 In the present case, further packing of the aneurysm at the time of treatment would have carried a high risk of parent artery compromise because of the large, ill-defined aneurysm neck that appeared to be incorporated into the parent artery. There were no large defects in the coil mass visible angiographically, and the aneurysm would not easily accept further coils. Since the time of this