Coil entrapment in temporary stent-assisted coiling of wide-neck aneurysm: a case report

Autor: Farid Qoorchi Moheb Seraj, Feizollah Ebrahimnia, Sajjad Najafi, Mahla Esmaeilzadeh, Humain Baharvahdat
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Egyptian Journal of Neurosurgery, Vol 39, Iss 1, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 2520-8225
DOI: 10.1186/s41984-024-00280-x
Popis: 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.
Databáze: Directory of Open Access Journals
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