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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

Riccardo Stanzani
1   Department of Neurosurgery, Neurosurgery Unit AOU Policlinico di Modena – OCSAE Modena Hospital, Modena
2   Department of Neurosurgery, Neurosurgical Residency Program, University of Padua, Padua, Italy
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Yasuhiro Yamada
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Tukasa Kawase
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Gowtham Devareddy
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Chandratej Kadam
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Firuz Shukurov
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
,
Chavan Vaibhav
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
4   Department of Neurosurgery, Krishna Institute of Medical Sciences, Karad, Maharashtra, India
,
Yoko Kato
3   Department of Neurosurgery, Bantane Hospital, Fujita Health University, Nagoya
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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

Financial support and sponsorship

Nil.




Publication History

Received: 02 December 2019

Accepted: 09 April 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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