• Ya Shao, Yuan Yang, Haidong Huang, Ting Wang, Jinglun Li, Yushan Jiang, Ziwei Yuan, Jiayi Tang, Dihu Wang, Zerui Xiang, Xue Zeng, Zhou Yu, Zhongchun He, and Zhengzhou Yuan.
• Department of Neurology, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, China.
• Medicine (Baltimore). 2024 Mar 22; 103 (12): e37403e37403.

RationaleGiant intracranial aneurysms pose a significant threat due to high mortality rates upon rupture, prompting interventions such as neurosurgical clipping or endovascular coiling.Patient ConcernsWe present a rare case involving a 47-year-old female with a history of successfully treated ruptured giant intracranial aneurysms. Six months post-surgical clipping, she developed symptoms of acute ischemic stroke, prompting the decision for neurosurgical coiling and stent-assisted aneurysm coil embolization due to recurrent intracranial aneurysms.DiagnosesSubsequently, occlusion occurred at the previously implanted stent site during embolization, necessitating exploration of alternative therapeutic options. Digital subtraction angiography confirmed stent occlusion in the right middle cerebral artery.InterventionsDespite an initial unsuccessful attempt using a direct aspiration first-pass technique, the patient underwent successful mechanical thrombectomy with a retrievable stent, leading to successful reperfusion. This study aims to highlight the challenges and therapeutic strategies in managing delayed cerebral vascular occlusion following stent-assisted coil embolization, emphasizing the significance of exploring alternative interventions to enhance patient outcomes.OutcomesThe patient achieved successful reperfusion, and the study underscores the importance of recognizing and addressing delayed cerebral vascular occlusion after stent-assisted coil embolization for recurrent cerebral aneurysms.LessonsOur findings suggest that retrievable stent mechanical thrombectomy may serve as a viable therapeutic option in challenging scenarios, emphasizing the need for further exploration of alternative interventions to enhance patient care.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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