Stent assisted coil embolization for post-surgical ruptured recurrence of anterior communicating aneurysm

Abstract

Cerebral aneurysm recurrences after previous surgical clipping are associated with an important risk of growth and rupture. These lesions can be difficult to manage by either a classical microsurgical approach or endosaccular coiling. The advanced endovascular technique can be considered as a treatment option for these recurred aneurysms. Aneurysm coil occlusion and endoluminal parent vessel reconstruction with intracranial stent may be an ideal method for treating these recurrences by avoiding reoperative surgery or intraprocedural aneurysm rupture with aneurysm access. Stent-assisted coil embolization can be a safe and efficacious treatment approach for recurrent ACom region aneurysms after previously surgical clipping.