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The literature defines probably the most varied choices for managing this pathology separated or alternative, and now the strategy of multiple endovascular therapy - carotid stenting and endovascular embolization of aneurysm - is gathering popularity. We introduced a clinical instance of treatment of 61 females with vital stenosis (90percent) and tortuosity of this interior carotid artery in conjunction with ipsilateral saccular aneurysm of this anterior connecting artery. The uniqueness for this instance