Large Single-Center Experience with Short-Term Follow-up of Neqstent-Assisted Coiling

Sample case of a treated right MCA aneurysm. A, Working-projection angiogram with a superior M2 branch arising from the aneurysm neck. B, An 11-mm Neqstent device deployed with an adjacent jailed microcatheter and initial deployment of the first coil. C, Final angiographic result after detachment of the final coil and the Neqstent device. D, Compromise of the superior M2 branch due to device encroachment, with thrombus formation and reduced flow. E, Administration of IV aspirin and Integrilin, which reduced the clot volume and improved flow through the M2 branch. This result remained stable on 20- and 30-minute check angiograms. F, A 6-month follow-up FLAIR sequence demonstrates a sizable right-MCA cortical infarct.