Coil Migration through a Neuroform 3 Stent during Endovascular Coiling

Abstract

A 43-year-old woman attended for stent assisted coiling. A Neuroform 30 × 4.5 mm stent had been successfully placed over the left periophthalmic aneurysm. During the coiling the first coil migrated through the crowns in the stent, lodging at the MCA bifurcation. We believe that the coil herniated through the overlying stent due to the carotid siphon curvature and the open cell design. Furthermore the distal markers of the stent impeded coil extraction with a MERCI device.