Mini-arteriotomy to remove misplaced Gugliemi detachable coils: case report and technical note.

ABSTRACT

Coil-related thromboembolic complications due to misplacement of coils in embolization of the intracranial aneurysms might result in severe neurological deficits. We describe an unusual case of a ruptured posterior communicating artery (PcomA) aneurysm in a woman who underwent a Mini-Arteriotomy to rescue error embolism in the left middle cerebral artery (MCA). This surgical procedure might be considered as an alternative route in selected patients with coil-related thromboembolic complications. This novel technology gives us a simple and practical method to remedy the misplacement of coils in a wide region of the cerebral vascular after interventional treatment.