Mechanical Thrombectomy in the Treatment of Distal Occlusions during Coil Embolization of Ruptured Intracranial Aneurysms

Francesco Briganti; Giuseppe Leone; Mariano Marseglia; Carmela Chiaramonte; Domenico Solari; Ferdinando Caranci; Paolo Cappabianca; Francesco Maiuri

doi:10.2176/nmccrj.cr.2016-0022

Case Reports

Mechanical Thrombectomy in the Treatment of Distal Occlusions during Coil Embolization of Ruptured Intracranial Aneurysms

Francesco Briganti, Giuseppe Leone, Mariano Marseglia, Carmela Chiaramonte, Domenico Solari, Ferdinando Caranci, Paolo Cappabianca, Francesco Maiuri

Author information

Francesco Briganti
Unit of Interventional Neuroradiology, Department of Advanced Biomedical Sciences, “Federico II” University
Giuseppe Leone
Department of Advanced Biomedical Sciences, “Federico II” University
Mariano Marseglia
Department of Advanced Biomedical Sciences, “Federico II” University
Carmela Chiaramonte
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University
Domenico Solari
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University
Ferdinando Caranci
Department of Advanced Biomedical Sciences, “Federico II” University
Paolo Cappabianca
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University
Francesco Maiuri
Division of Neurosurgery, Department of Neurosciences, Reproductive and Odontostomatological Sciences, “Federico II” University

Keywords: intracranial aneurysms, brain aneurysm, subarachnoid hemorrhage, coiling, stent-retriever, solitaire

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2016 Volume 3 Issue 4 Pages 115-117

DOI https://doi.org/10.2176/nmccrj.cr.2016-0022

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Abstract

The experience in the management of thromboembolic complications of distal vessels during coil embolization using stent-retrievers in the setting of subarachnoid hemorrhage (SAH) is still limited. We report a case of 58-year-old woman with a ruptured small anterior communicating aneurysm who experienced during coil embolization a thromboembolic occlusion of the upper post-bifurcation branch of the middle cerebral artery. Mechanical thrombectomy with a stent-retriever (Solitaire, Covidien, Neurovascular) resulted in complete recanalization of the occluded branch with no ischemic complication. This case should encourage the use of the Solitaire device as an effective rescue strategy in the treatment of distal artery occlusions in the setting of SAH.

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