Acute coils migration causing significant m3 branch occlusion: A case report of rescue surgery with superficial temporal artery-middle cerebral artery bypass

We describe an uncommon case of acute coils migration with significant occlusion of M3 branch and our management of this complication. Ballon-assisted coil placement was performed for an unruptured intracavernous internal carotid artery aneurysm in a 62-year-old woman. After coil placement and ballo...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2020-04, Vol.15 (2), p.428-430
Main Authors: Stanzani, Riccardo, Yamada, Yasuhiro, Kawase, Tukasa, Devareddy, Gowtham, Kadam, Chandratej, Shukurov, Firuz, Vaibhav, Chavan, Kato, Yoko
Format: Article
Language:English
Subjects:
Aneurysm
Blood flow
Case Report
Deflation (Economics)
Neurologic manifestations
Surgery
Time
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Summary:We describe an uncommon case of acute coils migration with significant occlusion of M3 branch and our management of this complication. Ballon-assisted coil placement was performed for an unruptured intracavernous internal carotid artery aneurysm in a 62-year-old woman. After coil placement and balloon deflection, we observed coils migration with significant occlusion of M3 branch. After early clinical deterioration without other neurological symptoms, we decided to perform superficial temporal artery-middle cerebral artery (STA-MCA) bypass to ensure blood flow distal to the occlusion. The patient was discharged without neurological deficit. To the best of our knowledge, this is the first case report about STA-MCA bypass to treat acute coils migration. This technique could represent a successful rescue therapy in case of acute coils migration that cannot be retrieved by endovascular tools or in case where distal and deep location of migrated coils controindicate surgical removal.
ISSN:1793-5482
2248-9614
DOI:10.4103/ajns.AJNS_349_19