首页|Mechanical compression management of the right middle cerebral artery inferior trunk using a stent during coil embolization of middle cerebral artery aneurysms:A case report and literature review

Mechanical compression management of the right middle cerebral artery inferior trunk using a stent during coil embolization of middle cerebral artery aneurysms:A case report and literature review

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Endovascular coil embolization is a minimally invasive,rapid,and effective method for the treatment of intra-cranial aneurysms.However,complications associated with coil embolization,such as intraoperative aneurysm rupture or arterial occlusion,should be promptly managed during the procedure to avoid catastrophic conse-quences.This study presents a case of mechanical compression management of the right middle cerebral artery(MCA)inferior trunk during coil embolization for bilateral MCA aneurysms.The inferior trunk of the right MCA was abruptly occluded due to mechanical compression during coil embolization of the right MCA bifurcation aneurysm.A Solitaire AB stent(4 × 20 mm,Covidien/Medtronic,Dublin,Ireland)was implanted in the inferior trunk of the right MCA after tirofiban was injected via a microcatheter,and the right inferior trunk was recan-alized.The patient also underwent coil embolization of the left MCA bifurcation aneurysm,without any com-plications.It is crucial to recognize compressive occlusion of adjacent aneurysm branches to avoid severe complications during intracranial aneurysm embolization.Stent placement is a rescue treatment option for recanalization of an occluded artery.

Endovascular coil embolizationIntracranial aneurysmMechanical compressionStent

Zhengyu Wang、Zhiqing Peng、Liang Chen、Wanbin Li、Yongli Wang

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Department of Interventional Radiology,The Sixth People's Hospital South Campus,Shanghai Jiao Tong University,Shanghai,China

Construction Project of the Stroke Center of the Fengxian District,Shanghai

2017-118

2023

介入医学杂志(英文)

介入医学杂志(英文)

ISSN:
年,卷(期):2023.6(3)
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