A Case of Microguidewire and Neuroform Atlas Stent Entanglement Resulting in Extraction Difficulty.

ABSTRACT:

Objective

The trans-cell technique in stent-assisted coil embolization is a common treatment method for intracranial aneurysm. However, despite the frequency of its use, reports discussing its complications and their management are few. We describe a case of stent and microguidewire entanglement, which could not be removed, during treatment using the trans-cell technique. We discuss the mechanism of the entanglement and its management.

Case presentation

A woman in her 40s was found to have an unruptured cerebral aneurysm with a maximum diameter of 5.9 mm located in the paraclinodal anterior process of the left internal carotid artery during a close examination of a headache. The aneurysm had an irregular shape and wide neck. Stent-assisted coil embolization was planned. Init

SUBMITTER: Yanagawa T 

PROVIDER: S-EPMC10730298 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature