A small neck recurrence after a previous coiling (A). Repeat treatment using coils would have necessitated a stent into the inferior branch, and therefore, it was felt an alternative strategy would be to place a single p64 FDS into the superior middle cerebral artery trunk. A follow-up angiogram performed 3 months later (B) showed on contrast enhancement of the aneurysm and a reduction in the caliber of the size of the inferior trunk but with persistent anterograde flow. The patient was neurologically intact, and there were no clinical consequences of the vessel modification.