title: Emergency surgical recanalisation of A1 segment occluded by a Guglielmi detachable coil.
abstract: We describe a case of A1 segment occlusion caused by a tangled Guglielmi detachable coil (GDC) during an endovascular treatment for a ruptured anterior communicating aneurysm. Immediate surgical recanalisation of the occluded artery and clipping of the aneurysm rescued the patient. This case demonstrates that an emergency surgical team, as well as an operating room, should be available during any complicated intra-aneurysmal procedure, so that timely surgical intervention could be carried out without delay.
authors.affiliation: Department of Neurosurgery and Diagnostic Radiology, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
authors.forename: Y S
authors.initials: YS
authors.lastname: Shin
authors.forename: K C
authors.initials: KC
authors.lastname: Lee
authors.forename: D I
authors.initials: DI
authors.lastname: Kim
authors.forename: K S
authors.initials: KS
authors.lastname: Lee
authors.forename: S K
authors.initials: SK
authors.lastname: Huh
mesh_terms: D002533:Cerebral Angiography; D003399:Craniotomy / Q000379:methods*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery* / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000209:etiology*; D013525:Surgical Instruments; D016896:Treatment Outcome