Thu, Nov 27, 2025
Volume 11, Issue 4 (Autumn 2025)
Caspian J Neurol Sci 2025, 11(4): 338-343 |
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Niryana I W, Marleen M, Daniswara Maliawan M G, Priyambodo A, Putra M B, Prakoso D T et al . Stent-assisted Coiling for a Wide-neck Anterior Communicating Artery Aneurysm: A Case Report. Caspian J Neurol Sci 2025; 11 (4) :338-343
URL: http://cjns.gums.ac.ir/article-1-739-en.html
URL: http://cjns.gums.ac.ir/article-1-739-en.html
I Wayan Niryana *1 
, Marleen Marleen2 , Made Gemma Daniswara Maliawan2 , Affan Priyambodo2 , Made Bhuwana Putra2 , Dicky Teguh Prakoso2 , Christopher Lauren2
, Marleen Marleen2 , Made Gemma Daniswara Maliawan2 , Affan Priyambodo2 , Made Bhuwana Putra2 , Dicky Teguh Prakoso2 , Christopher Lauren2
1- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Prof. Dr. IGNG Ngoerah General Hospital, Udayana University, Bali, Indonesia , niryanawayan@gmail.com
2- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Prof. Dr. IGNG Ngoerah General Hospital, Udayana University, Bali, Indonesia
2- Neurosurgery Division, Department of Surgery, Faculty of Medicine, Prof. Dr. IGNG Ngoerah General Hospital, Udayana University, Bali, Indonesia
Abstract: (410 Views)
Background: Aneurysms of the anterior communicating artery (AComA) are a frequent cause of subarachnoid hemorrhage. They present significant challenges in endovascular management due to complex vascular anatomy and the need to preserve critical perforating arteries. Stent-assisted coiling (SAC) has emerged as a reliable technique for wide-neck AComA aneurysms, offering favorable occlusion rates while minimizing periprocedural complications.
Case Presentation: We present a 42-year-old male with an incidentally discovered, unruptured wide-neck AComA aneurysm identified during evaluation for his mild, intermittent frontal headaches. Digital subtraction angiography (DSA) revealed a superolateral projecting aneurysm with a neck width of 3.6 mm and an aspect ratio of 1.1. Considering the aneurysm’s morphological complexity and potential risk of rupture, stent-assisted coil embolization using the jailing technique was performed. A Neuroform Atlas stent was deployed from the proximal A2 to A1 segment to secure the microcatheter during coiling. Post-procedural angiography demonstrated complete aneurysm occlusion without parent vessel compromise. The patient remained neurologically intact and was discharged three days post-procedure. At one-year follow-up, imaging confirmed stable occlusion with no evidence of recurrence or delayed complications.
Conclusion: SAC using the jailing technique represents a safe and effective therapeutic strategy for wide-neck AComA aneurysms, providing durable aneurysm occlusion while preserving vessel patency. Further comparative studies are warranted to evaluate long-term outcomes across different endovascular techniques in managing AComA aneurysms.
Case Presentation: We present a 42-year-old male with an incidentally discovered, unruptured wide-neck AComA aneurysm identified during evaluation for his mild, intermittent frontal headaches. Digital subtraction angiography (DSA) revealed a superolateral projecting aneurysm with a neck width of 3.6 mm and an aspect ratio of 1.1. Considering the aneurysm’s morphological complexity and potential risk of rupture, stent-assisted coil embolization using the jailing technique was performed. A Neuroform Atlas stent was deployed from the proximal A2 to A1 segment to secure the microcatheter during coiling. Post-procedural angiography demonstrated complete aneurysm occlusion without parent vessel compromise. The patient remained neurologically intact and was discharged three days post-procedure. At one-year follow-up, imaging confirmed stable occlusion with no evidence of recurrence or delayed complications.
Conclusion: SAC using the jailing technique represents a safe and effective therapeutic strategy for wide-neck AComA aneurysms, providing durable aneurysm occlusion while preserving vessel patency. Further comparative studies are warranted to evaluate long-term outcomes across different endovascular techniques in managing AComA aneurysms.
Keywords: Anterior communicating artery (AComA) aneurysm, Stent-assisted coiling (SAC), Wide-neck aneurysm
Type of Study: case report |
Subject:
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Received: 2024/08/21 | Accepted: 2025/04/3 | Published: 2025/10/26
Received: 2024/08/21 | Accepted: 2025/04/3 | Published: 2025/10/26
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