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- Title
Coil entrapment in temporary stent-assisted coiling of wide-neck aneurysm: a case report.
- Authors
Qoorchi Moheb Seraj, Farid; Ebrahimnia, Feizollah; Najafi, Sajjad; Esmaeilzadeh, Mahla; Baharvahdat, Humain
- Abstract
Background: Endovascular treatment of the wide-necked aneurysm is still challenging. Temporary stent-assisted coiling (TSAC) was introduced to manage the ruptured wide-necked aneurysms to avoid the long-term use of dual antiplatelets as well as improving aneurysm filling with coils. Case presentation: Here, we reported a case of the coil entrapment into the stent device during TSAC for the treatment of a wide-necked large ruptured aneurysm. Patient presented with loss of consciousness following diffuse subarachnoid hemorrhage due to a wide-necked large aneurysm located in the left ICA bifurcation. During treatment of aneurysm with TSAC technique, the stent could not retrieve and re-sheath because of coil entrapment in the stent struts. Consequently, the stent was released by cutting the pushing wire at the puncture site. Conclusion: Entrapment of coils in the stent struts is a very rare technical complication of TSAC method. It is essential to be aware of this side effect and how to avoid.
- Subjects
ANEURYSMS; RUPTURED aneurysms; INTRACRANIAL aneurysm ruptures; LOSS of consciousness; SUBARACHNOID hemorrhage; CEREBRAL vasospasm; FALSE aneurysms
- Publication
Egyptian Journal of Neurosurgery, 2024, Vol 39, Issue 1, p1
- ISSN
2520-8225
- Publication type
Article
- DOI
10.1186/s41984-024-00280-x