Stent Migration during Coil Embolization with an Open Cell Stent: A Report of Three Cases

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Objective: Among 36 cerebral aneurysm cases of stent-assisted coil embolization with the Neuroform Atlas since April 2017, there were three cases of stent migration during the operation. The status of stent deployment, cause of trouble, results of coil embolization, and complications were assessed.

Case Presentations: There were two cases with trouble during stent deployment, a case of internal carotid artery aneurysm, and a case of middle cerebral artery (MCA) aneurysm. The proximal marker of the stent was advanced during stent deployment with the simple pull maneuver, then a part of the stent migrated to the aneurysm sac in both cases. Stent migration to the aneurysm sac during microcatheter navigation by the trans-cell technique occurred in another MCA aneurysm case. No postoperative complications were observed, and a volume embolization ratio (VER) of 24.1%–33% was achieved in these three cases.

Conclusions: The Neuroform Atlas is a safe and convenient stent system. However, stent advancement during deployment and migration during trans-cell microcatheter navigation can occur.