• Krishna C Joshi, Ryan Khanna, Dominick Richards, and Demetrius Lopes.
• Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA. Electronic address: krishnacjoshi@gmail.com.
• World Neurosurg. 2023 Mar 1; 171: 148151148-151.

BackgroundMorbid obesity can pose unique challenges in the endovascular treatment of cerebrovascular diseases, particularly in the management of ruptured aneurysms.Case DescriptionThis technical report discusses the challenges faced during the treatment of a ruptured aneurysm in a morbidly obese patient with a body mass index of 101. The technical adaptations used included the utilization of Dyna CT for routine imaging, vacuum assist devices for patient transfer, and a transradial approach to avoid groin complications. The technical adaptations used in the management of the ruptured aneurysm in the morbidly obese patient were effective in overcoming the challenges posed by the patient's obesity.ConclusionThis technical report and literature review can serve as a guide for physicians treating morbidly obese patients with cerebrovascular diseases. Utilization of advanced technology and innovative approaches can aid in overcoming the challenges posed by obesity and improving patient outcomes.Copyright © 2023 Elsevier Inc. All rights reserved.

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