{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T01:38:05Z","timestamp":1778981885283,"version":"3.51.4"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"26","license":[{"start":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T00:00:00Z","timestamp":1687737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,26]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Endovascular embolization of wide-necked aneurysms can be challenging. The development of intrasaccular devices like the Contour has enabled us to approach these aneurysms effectively by reducing recanalization rates and eliminating the need for dual antiplatelet therapy, which is particularly beneficial in the case of ruptured aneurysms. Although complications from using these devices are rare, it is crucial to address them properly. In this case, the authors highlight how to manage artery thrombosis caused by device protrusion during aneurysm embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>This report describes a complication in a male patient with a ruptured anterior communicating artery wide-necked aneurysm. Following Contour-assisted coiling of the aneurysm, a realignment of the detachable apex of the device occluded the A2 segment of the right anterior cerebral artery. After the failure of intra-arterial and intravenous tirofiban infusion as well as mechanical thrombectomy, a self-expanding open-cell stent was deployed in the involved vessel, achieving successful reperfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The Contour device has a detachable zone that can cause occlusion of the parent vessel after deployment. The use of a stent as a rescue maneuver may be useful if reperfusion of the vessel cannot be achieved through other methods such as aspiration or full-dose antiplatelet therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23171","type":"journal-article","created":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T02:14:56Z","timestamp":1687832096000},"source":"Crossref","is-referenced-by-count":3,"title":["Rescue stenting after artery occlusion as a complication of an intrasaccular device\u2013assisted coiling embolization: illustrative case"],"prefix":"10.3171","volume":"5","author":[{"given":"F\u00e9lix","family":"Gallo-Pineda","sequence":"first","affiliation":[{"name":"Division of Interventional Neuroradiology, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Fern\u00e1ndez-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Division of Interventional Neuroradiology, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Hidalgo-Barranco","sequence":"additional","affiliation":[{"name":"Division of Interventional Neuroradiology, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","article-title":"Comparison of the Contour Neurovascular System and Woven EndoBridge device for treatment of wide-necked cerebral aneurysms at a bifurcation or sidewall","author":"Hecker C","unstructured":"Hecker C, Broussalis E, Pfaff JAR, Pikija S, Griessenauer CJ, Killer-Oberpfalzer M. Comparison of the Contour Neurovascular System and Woven EndoBridge device for treatment of wide-necked cerebral aneurysms at a bifurcation or sidewall. Published online January 27, 2023. J Neurosurg. doi: 10.3171\/2022.12.JNS222268."},{"key":"b2","article-title":"The safety and effectiveness of the Contour Neurovascular System for the treatment of wide-necked aneurysms: a systematic review and meta-analysis of early experience","author":"Ghozy S","unstructured":"Ghozy S, Lashin BI, Elfil M,  The safety and effectiveness of the Contour Neurovascular System for the treatment of wide-necked aneurysms: a systematic review and meta-analysis of early experience. Published online November 16, 2022. Interv Neuroradiol. doi: 10.1177\/15910199221139546.36384322"},{"issue":"10","key":"b3","series-title":"J Neurointerv Surg","first-page":"987","article-title":"Endovascular treatment of wide-necked intracranial aneurysms using the novel Contour Neurovascular System: a single-center safety and feasibility study","volume":"12","author":"Akhunbay-Fudge CY","year":"2020","unstructured":"Akhunbay-Fudge CY, Deniz K, Tyagi AK, Patankar T. Endovascular treatment of wide-necked intracranial aneurysms using the novel Contour Neurovascular System: a single-center safety and feasibility study. J Neurointerv Surg. 2020;12(10):987\u2013992.31974281"},{"issue":"1","key":"b4","series-title":"Clin Neuroradiol","first-page":"147","article-title":"The Contour\u2014early human experience of a novel aneurysm occlusion device","volume":"31","author":"Bhogal P","year":"2021","unstructured":"Bhogal P, Lylyk I, Chudyk J, Perez N, Bleise C, Lylyk P. The Contour\u2014early human experience of a novel aneurysm occlusion device. Clin Neuroradiol. 2021;31(1):147\u2013154.31993679"},{"key":"b5","article-title":"Endosaccular flow disruption with the Contour Neurovascular System: angiographic and clinical results in a single-center study of 60 unruptured intracranial aneurysms","author":"Biondi A","unstructured":"Biondi A, Primikiris P, Vitale G, Charbonnier G. Endosaccular flow disruption with the Contour Neurovascular System: angiographic and clinical results in a single-center study of 60 unruptured intracranial aneurysms. Published online August 22, 2022. J Neurointerv Surg. doi: 10.1136\/jnis-2022-019271."},{"issue":"1","key":"b6","series-title":"Interv Neuroradiol","first-page":"79","article-title":"Contour-assisted coiling with jailed microcatheter may result in better occlusion (CoCoJaMBO) in wide-necked intracranial aneurysms: proof of principle and immediate angiographic results","volume":"29","author":"Wodarg F","year":"2023","unstructured":"Wodarg F, Ozpeynirci Y, Hensler J, Jansen O, Liebig T. Contour-assisted coiling with jailed microcatheter may result in better occlusion (CoCoJaMBO) in wide-necked intracranial aneurysms: proof of principle and immediate angiographic results. Interv Neuroradiol. 2023;29(1):79\u201387.35014885"},{"issue":"8","key":"b7","series-title":"Brain Sci","first-page":"991","article-title":"Intrasaccular flow disruptor-assisted coiling of intracranial aneurysms using the novel contour neurovascular systems and NEQSTENT: a single-center safety and feasibility study","volume":"12","author":"Diana F","year":"2022","unstructured":"Diana F, de Dios Lascuevas M, Peschillo S,  Intrasaccular flow disruptor-assisted coiling of intracranial aneurysms using the novel contour neurovascular systems and NEQSTENT: a single-center safety and feasibility study. Brain Sci. 2022;12(8):991.35892432"},{"key":"b1","article-title":"Comparison of the Contour Neurovascular System and Woven EndoBridge device for treatment of wide-necked cerebral aneurysms at a bifurcation or sidewall","author":"Hecker C","unstructured":"Hecker C, Broussalis E, Pfaff JAR, Pikija S, Griessenauer CJ, Killer-Oberpfalzer M. Comparison of the Contour Neurovascular System and Woven EndoBridge device for treatment of wide-necked cerebral aneurysms at a bifurcation or sidewall. Published online January 27, 2023. J Neurosurg. doi: 10.3171\/2022.12.JNS222268."},{"key":"b2","article-title":"The safety and effectiveness of the Contour Neurovascular System for the treatment of wide-necked aneurysms: a systematic review and meta-analysis of early experience","author":"Ghozy S","unstructured":"Ghozy S, Lashin BI, Elfil M,  The safety and effectiveness of the Contour Neurovascular System for the treatment of wide-necked aneurysms: a systematic review and meta-analysis of early experience. Published online November 16, 2022. Interv Neuroradiol. doi: 10.1177\/15910199221139546.36384322"},{"issue":"10","key":"b3","series-title":"J Neurointerv Surg","first-page":"987","article-title":"Endovascular treatment of wide-necked intracranial aneurysms using the novel Contour Neurovascular System: a single-center safety and feasibility study","volume":"12","author":"Akhunbay-Fudge CY","year":"2020","unstructured":"Akhunbay-Fudge CY, Deniz K, Tyagi AK, Patankar T. Endovascular treatment of wide-necked intracranial aneurysms using the novel Contour Neurovascular System: a single-center safety and feasibility study. J Neurointerv Surg. 2020;12(10):987\u2013992.31974281"},{"issue":"1","key":"b4","series-title":"Clin Neuroradiol","first-page":"147","article-title":"The Contour\u2014early human experience of a novel aneurysm occlusion device","volume":"31","author":"Bhogal P","year":"2021","unstructured":"Bhogal P, Lylyk I, Chudyk J, Perez N, Bleise C, Lylyk P. The Contour\u2014early human experience of a novel aneurysm occlusion device. Clin Neuroradiol. 2021;31(1):147\u2013154.31993679"},{"key":"b5","article-title":"Endosaccular flow disruption with the Contour Neurovascular System: angiographic and clinical results in a single-center study of 60 unruptured intracranial aneurysms","author":"Biondi A","unstructured":"Biondi A, Primikiris P, Vitale G, Charbonnier G. Endosaccular flow disruption with the Contour Neurovascular System: angiographic and clinical results in a single-center study of 60 unruptured intracranial aneurysms. Published online August 22, 2022. J Neurointerv Surg. doi: 10.1136\/jnis-2022-019271."},{"issue":"1","key":"b6","series-title":"Interv Neuroradiol","first-page":"79","article-title":"Contour-assisted coiling with jailed microcatheter may result in better occlusion (CoCoJaMBO) in wide-necked intracranial aneurysms: proof of principle and immediate angiographic results","volume":"29","author":"Wodarg F","year":"2023","unstructured":"Wodarg F, Ozpeynirci Y, Hensler J, Jansen O, Liebig T. Contour-assisted coiling with jailed microcatheter may result in better occlusion (CoCoJaMBO) in wide-necked intracranial aneurysms: proof of principle and immediate angiographic results. Interv Neuroradiol. 2023;29(1):79\u201387.35014885"},{"issue":"8","key":"b7","series-title":"Brain Sci","first-page":"991","article-title":"Intrasaccular flow disruptor-assisted coiling of intracranial aneurysms using the novel contour neurovascular systems and NEQSTENT: a single-center safety and feasibility study","volume":"12","author":"Diana F","year":"2022","unstructured":"Diana F, de Dios Lascuevas M, Peschillo S,  Intrasaccular flow disruptor-assisted coiling of intracranial aneurysms using the novel contour neurovascular systems and NEQSTENT: a single-center safety and feasibility study. Brain Sci. 2022;12(8):991.35892432"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/5\/26\/article-CASE23171.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/5\/26\/article-CASE23171.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/5\/26\/article-CASE23171.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:29:25Z","timestamp":1770301765000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/5\/26\/article-CASE23171.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,26]]},"references-count":14,"journal-issue":{"issue":"26"},"URL":"https:\/\/doi.org\/10.3171\/case23171","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,26]]}}}