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

• Published in: Egyptian journal of neurosurgery Vol. 39; no. 1; pp. 22 - 5
• Main Authors: Qoorchi Moheb Seraj, Farid, Ebrahimnia, Feizollah, Najafi, Sajjad, Esmaeilzadeh, Mahla, Baharvahdat, Humain
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2024; Springer Nature B.V; SpringerOpen
• Subjects: Aneurysms; Case Report; Cerebral aneurysm; Coil embolization; Medicine; Medicine & Public Health; Neurosurgery; Solitaire; Subarachnoid hemorrhage; Temporary stent; Temporary stent; Coil embolization; Cerebral aneurysm; Subarachnoid hemorrhage; Solitaire
• ISSN: 2520-8225; 2520-8225
• DOI: 10.1186/s41984-024-00280-x

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.