Tang Hui, Li Zhou, Chen Chen, Sun Mou, Zhai Yujie
Department of Neurosurgery, Beijing Anzhen Nanchong Hospital of Capital Medical University and Nanchong Central Hospital, Nanchong, Sichuan 637000, P.R. China.
Nanchong Sub-Center, Sichuan Clinical Research Center for Neurological Disease, Nanchong, Sichuan 637000, P.R. China.
Exp Ther Med. 2025 Sep 1;30(5):210. doi: 10.3892/etm.2025.12960. eCollection 2025 Nov.
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.
宽颈前交通动脉（ACoA）动脉瘤因存在弹簧圈突出风险，给血管内栓塞治疗带来挑战。本病例报告描述了一种用于治疗破裂宽颈ACoA动脉瘤的新型血管内技术，解决了栓塞过程中弹簧圈突出的风险。该方法采用微导管和导丝辅助联合栓塞方法，无需使用支架或球囊等辅助装置即可进行弹簧圈置入。与传统方法相比，该技术避免了与支架相关的并发症，保留了脑血流并将手术复杂性降至最低。在某些特定病例中，它可能是一种安全有效的替代方法，必要时可保留支架置入作为补救策略。
