An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

Search Article
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Advertise Subscribe Contacts Login  Facebook Tweeter
  Users Online: 504 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
CASE REPORT
Year : 2020  |  Volume : 15  |  Issue : 2  |  Page : 428-430

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


1 Department of Neurosurgery, Neurosurgery Unit AOU Policlinico di Modena – OCSAE Modena Hospital, Modena; Department of Neurosurgery, Neurosurgical Residency Program, University of Padua, Padua, Italy; Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan
2 Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan
3 Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan; Department of Neurosurgery, Krishna Institute of Medical Sciences, Karad, Maharashtra, India

Correspondence Address:
Dr. Riccardo Stanzani
Department of Neurosurgery, Neurosurgery Unit AOU Policlinico di Modena – OCSAE Modena Hospital, Modena; Department of Neurosurgery, Neurosurgical Residency Program, University of Padua, Padua, Italy; Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya, Japan

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajns.AJNS_349_19

Rights and Permissions

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.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed61    
    Printed0    
    Emailed0    
    PDF Downloaded16    
    Comments [Add]    

Recommend this journal