TABLE 1.
Authors & Year | Age (yrs)/Sex | Initial Presenting Sxs | Diagnosis | Location of Coil Migration | Partial or Total Coil Migration | Time Lag* | Mode of Transfer | Surgical Extraction Technique | Coil Retrieval | Immediate Postoperative Status | Follow-up |
---|---|---|---|---|---|---|---|---|---|---|---|
Deshmukh et al., 200619 |
34/F |
Stupor |
Ruptured lt saccular 3-mm ophthalmic ICA aneurysm |
Lt M3 occlusion |
Total |
NS |
GA, barbiturate, mannitol |
Lt M3 arteriotomy |
Success |
Neurologically intact |
Neurologically intact |
Chen et al., 200923 |
61/F |
Stupor |
Ruptured lt wide-neck saccular PComA aneurysm |
Lt distal ICA occlusion |
Total |
NS |
NS |
Lt A1 arteriotomy |
Success |
Transient hemiparesis |
Neurologically intact |
Kim et al., 201425 |
63/M |
NS |
Unruptured lt wide-neck saccular 9-mm MCA bifurcation aneurysm |
Lt inferior M2 branch occlusion |
Total |
>2 hrs |
Awake |
Lt M2 arteriotomy |
Success |
Transient hemiparesis |
Neurologically intact |
Turek et al., 20159 | 54/F |
Rt 3rd cranial nerve palsy |
Unruptured rt saccular 16-mm cavernous segment ICA aneurysm |
Rt M1 occlusion |
Total |
NS |
GA |
Rt ATA arteriotomy |
Success |
Transient hemiparesis |
Neurologically intact |
58/F |
Alert, intact |
Unruptured residual rt saccular distal ICA aneurysm |
Rt M1 occlusion |
Total |
NS |
GA |
Rt ATA arteriotomy |
Success |
Moderate hemiparesis |
Mild hemiparesis |
|
39/M |
Headache |
Unruptured rt fusiform distal ICA & M1 segment aneurysm |
Rt M1 occlusion |
Total |
NS |
GA |
Rt M1 arteriotomy |
Success |
Moderate hemiparesis |
Neurologically intact |
|
Present case | 56/F | Rt 3rd cranial nerve palsy | Unruptured rt giant 32-mm saccular cavernous segment ICA aneurysm | Rt M1 occlusion | Total | 3 hrs | GA | Rt M1 arteriotomy | Success | Neurologically intact | Neurologically intact |
A1 = A1 segment of anterior cerebral artery; ATA = anterior temporal artery; GA = general anesthesia; M1 = M1 segment of MCA; M2 = M2 segment of MCA; M3 = M3 segment of MCA; NS = not specified; PComA = posterior communicating artery; Sxs = symptoms.
Time lag between occlusion and extraction.