Transcranial Doppler sonography shows potential as a noninvasive technique
for long-term follow-up of treated intracranial saccular aneurysms. This te
chnical note describes a color Doppler artifact related to microcoil archit
ecture that might represent a potential pitfall in transcranial Doppler son
ographic evaluation of aneurysmal cavity thrombosis, since it may be wrongl
y interpreted as residual flow or aneurysmal cavity recanalization.