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

Riccardo Stanzani; Yasuhiro Yamada; Tukasa Kawase; Gowtham Devareddy; Chandratej Kadam; Firuz Shukurov; Chavan Vaibhav; Yoko Kato

doi:10.4103/ajns.AJNS_349_19

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(02): 428-430
DOI: 10.4103/ajns.AJNS_349_19

Case Report

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

Autor*innen

Riccardo Stanzani

¹Department of Neurosurgery, Neurosurgery Unit AOU Policlinico di Modena – OCSAE Modena Hospital, Modena

²Department of Neurosurgery, Neurosurgical Residency Program, University of Padua, Padua, Italy

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Yasuhiro Yamada

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Tukasa Kawase

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Gowtham Devareddy

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Chandratej Kadam

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Firuz Shukurov

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
Chavan Vaibhav

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya

⁴Department of Neurosurgery, Krishna Institute of Medical Sciences, Karad, Maharashtra, India
Yoko Kato

³Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya

Abstract

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.

Key-words:

Balloon-assisted coiling - coil migration - intracranial aneurysm - STA-MCA bypass - vessel occlusion

Volltext

Referenzen

References
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