Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Wide-necked anterior communicating artery (ACoA) aneurysms pose challenges for endovascular coiling due to the risk of coil protrusion. This case report describes a new endovascular technique for managing ruptured wide-necked ACoA aneurysms, addressing the risk of coil protrusion during embolization. This method employs a combined microcatheter and guidewire-assisted embolization method, enabling coil deployment without needing adjunctive devices such as stents or balloons. Compared to traditional approaches, this technique avoids stent-related complications, preserves cerebral blood flow and minimizes procedural complexity. It may represent a safe and effective alternative in selected cases, with stent placement retained as a bailout strategy when necessary.
Authors: Hui Tang, Zhou Li, Chen Chen, Mou Sun, Yujie Zhai
Institutions: Capital Medical University, Nanchong Central Hospital
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413878796