Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Experimental and Therapeutic Medicine
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-0981 Online ISSN: 1792-1015
Journal Cover
November-2025 Volume 30 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
November-2025 Volume 30 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML

  • Supplementary Files
    • Supplementary_Data1.pdf
    • Supplementary_Data2.mp4
Case Report

Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report

  • Authors:
    • Hui Tang
    • Zhou Li
    • Chen Chen
    • Mou Sun
    • Yujie Zhai
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, Beijing Anzhen Nanchong Hospital of Capital Medical University and Nanchong Central Hospital, Nanchong, Sichuan 637000, P.R. China, Department of Neurosurgery, Nanchong Shenxin Hospital, Nanchong, Sichuan 637003, P.R. China
  • Article Number: 210
    |
    Published online on: September 1, 2025
       https://doi.org/10.3892/etm.2025.12960
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

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.
View Figures

Figure 1

(A) Non-contrast head CT. (B) CT
angiography. (C) Right internal carotid artery DSA revealing a
hypoplastic right A1 segment of the anterior cerebral artery. (D)
Left internal carotid artery DSA showing a dominant left A1
segment, with visualization of both pericallosal arteries and an
anterior communicating artery aneurysm. CT, computed tomography;
DSA, digital subtraction angiography.

Figure 2

(A) Three-dimensional DSA revealing an
anterior communicating artery aneurysm. (B) A stent microcatheter
placed in the right A2 segment. (C) Coil protrusion into the parent
vessel during initial coil deployment. (D) Guidewire advanced into
the left A2 segment. (E) Satisfactory coil framing achieved with
the microcatheter and guidewire support. The blue dashed line
represents the stent microcatheter. (F) Three coils deployed,
achieving stable aneurysm occlusion. (G) Post-procedural
two-dimensional DSA. (H) Post-procedural three-dimensional DSA. (I)
Six-month postoperative DSA follow-up. DSA, digital subtraction
angiography.
View References

1 

Sattari SA, Shahbandi A, Lee RP, Feghali J, Rincon-Torroella J, Yang W, Abdulrahim M, Ahmadi S, So RJ, Hung A, et al: Surgery or endovascular treatment in patients with anterior communicating artery aneurysm: A systematic review and meta-analysis. World Neurosurg. 175:31–44. 2023.PubMed/NCBI View Article : Google Scholar

2 

Kocur D, Ślusarczyk W, Przybyłko N, Bażowski P, Właszczuk A and Kwiek S: Stent-Assisted endovascular treatment of anterior communicating artery aneurysms-literature review. Pol J Radiol. 81:374–379. 2016.PubMed/NCBI View Article : Google Scholar

3 

Proust F, Martinaud O, Gérardin E, Derrey S, Levèque S, Bioux S, Tollard E, Clavier E, Langlois O, Godefroy O, et al: Quality of life and brain damage after microsurgical clip occlusion or endovascular coil embolization for ruptured anterior communicating artery aneurysms: Neuropsychological assessment. J Neurosurg. 110:19–29. 2009.PubMed/NCBI View Article : Google Scholar

4 

Zhao B, Tan X, Yang H, Zheng K, Li Z, Xiong Y and Zhong M: AMPAS study group. Stent-assisted coiling versus coiling alone of poor-grade ruptured intracranial aneurysms: A multicenter study. J Neurointerv Surg. 9:165–168. 2017.PubMed/NCBI View Article : Google Scholar

5 

Moon K, Albuquerque FC, Ducruet AF, Crowley RW and McDougall CG: Balloon remodeling of complex anterior communicating artery aneurysms: Technical considerations and complications. J Neurointerv Surg. 7:418–424. 2015.PubMed/NCBI View Article : Google Scholar

6 

Cho YD, Rhim JK, Kang HS, Park JJ, Jeon JP, Kim JE, Cho WS and Han MH: Use of triple microcatheters for endovascular treatment of wide-necked intracranial aneurysms: A single center experience. Korean J Radiol. 16:1109–1118. 2015.PubMed/NCBI View Article : Google Scholar

7 

Chung EJ, Shin YS, Lee CH, Song JH and Park JE: Comparison of clinical and radiologic outcomes among stent-assisted, double-catheter, and balloon-assisted coil embolization of wide neck aneurysms. Acta Neurochir (Wien). 156:1289–1295. 2014.PubMed/NCBI View Article : Google Scholar

8 

Muralidharan V, Travali M, Cavallaro TL, Tomarchio L, Corsale G, Cosentino F, Politi MA and Cristaudo C: Micro-catheter assisted coiling (MAC) A mid-path between simple and assisted coiling techniques in treating ruptured wide neck aneurysms and immediate post procedure outcomes. J Cerebrovasc Sci. 9:3–8. 2021.

9 

Ladner TR, He L, Davis BJ, Froehler MT and Mocco J: Simultaneous stent expansion/balloon deflation technique to salvage failed balloon remodeling. BMJ Case Rep. 2015(bcr2014011600)2015.PubMed/NCBI View Article : Google Scholar

10 

Kim SH, Nam TM, Lee SH, Jang JH, Kim YZ, Kim KH, Kim DH and Lee CH: Association of aortic arch calcification on chest X-ray with procedural thromboembolism after coil embolization of cerebral aneurysm. J Clin Neurosci. 99:373–378. 2022.PubMed/NCBI View Article : Google Scholar

11 

Ogata A, Suzuyama K, Ebashi R, Takase Y, Inoue K, Masuoka J, Yoshioka F, Nakahara Y and Abe T: Association between extracranial internal carotid artery tortuosity and thromboembolic complications during coil embolization of anterior circulation ruptured aneurysms. Acta Neurochir (Wien). 161:1175–1181. 2019.PubMed/NCBI View Article : Google Scholar

12 

Park CK, Shin HS, Choi SK, Lee SH and Koh JS: Clinical analysis and surgical considerations of atherosclerotic cerebral aneurysms: Experience of a single center. J Cerebrovasc Endovasc Neurosurg. 16:247–253. 2014.PubMed/NCBI View Article : Google Scholar

13 

Yin Z, Zhang Q, Zhao Y, Lu J, Ge P, Xie H, Wu D, Yu S, Kang S, Zhang Q, et al: Prevalence and procedural risk of intracranial atherosclerotic stenosis coexisting with unruptured intracranial aneurysm. Stroke. 54:1484–1493. 2023.PubMed/NCBI View Article : Google Scholar

14 

Ihn YK, Shin SH, Baik SK and Choi IS: Complications of endovascular treatment for intracranial aneurysms: Management and prevention. Interv Neuroradiol. 24:237–245. 2018.PubMed/NCBI View Article : Google Scholar

15 

Hong Y, Wang YJ, Deng Z, Wu Q and Zhang JM: Stent-assisted coiling versus coiling in treatment of intracranial aneurysm: A systematic review and meta-analysis. PLoS One. 9(e82311)2014.PubMed/NCBI View Article : Google Scholar

16 

Nabizadeh F, Valizadeh P and Balabandian M: Stent-assistant versus non-stent-assistant coiling for ruptured and unruptured intracranial aneurysms: A meta-analysis and systematic review. World Neurosurg X. 21(100243)2024.PubMed/NCBI View Article : Google Scholar

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Tang H, Li Z, Chen C, Sun M and Zhai Y: Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report. Exp Ther Med 30: 210, 2025.
APA
Tang, H., Li, Z., Chen, C., Sun, M., & Zhai, Y. (2025). Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report. Experimental and Therapeutic Medicine, 30, 210. https://doi.org/10.3892/etm.2025.12960
MLA
Tang, H., Li, Z., Chen, C., Sun, M., Zhai, Y."Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report". Experimental and Therapeutic Medicine 30.5 (2025): 210.
Chicago
Tang, H., Li, Z., Chen, C., Sun, M., Zhai, Y."Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report". Experimental and Therapeutic Medicine 30, no. 5 (2025): 210. https://doi.org/10.3892/etm.2025.12960
Copy and paste a formatted citation
x
Spandidos Publications style
Tang H, Li Z, Chen C, Sun M and Zhai Y: Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report. Exp Ther Med 30: 210, 2025.
APA
Tang, H., Li, Z., Chen, C., Sun, M., & Zhai, Y. (2025). Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report. Experimental and Therapeutic Medicine, 30, 210. https://doi.org/10.3892/etm.2025.12960
MLA
Tang, H., Li, Z., Chen, C., Sun, M., Zhai, Y."Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report". Experimental and Therapeutic Medicine 30.5 (2025): 210.
Chicago
Tang, H., Li, Z., Chen, C., Sun, M., Zhai, Y."Combined microcatheter and guidewire technique in endovascular coiling of a wide‑neck anterior communicating artery aneurysm: A case report". Experimental and Therapeutic Medicine 30, no. 5 (2025): 210. https://doi.org/10.3892/etm.2025.12960
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team