Percutaneous direct carotid puncture using an elastic needle for coil embolization of a ruptured cerebral aneurysm with right-sided aortic arch and carotid stenosis: illustrative case.

Key Points

• To explore the viability of direct carotid puncture with an elastic needle for coil embolization in complex vascular scenarios.
• Utilized direct carotid puncture with an elastic needle due to complicated vascular anatomy.
• Addressed right-sided aortic arch and carotid stenosis in the intervention.
• Monitored for ischemic complications during and after the procedure.
• Direct carotid puncture successfully enabled coil embolization of a ruptured cerebral aneurysm.
• The technique reduced risk compared to standard endovascular access methods.
• No ischemic complications were reported following the procedure.