Emergency surgical recanalisation of A1 segment occluded by a Guglielmi detachable coil

We describe a case of A1 segment occlusion caused by a tangled Guglielmi detachable coil (GDC) during an endovascular treatment for a ruptured anterior communicating aneurysm. Immediate surgical recanalisation of the occluded artery and clipping of the aneurysm rescued the patient. This case demonstrates that an emergency surgical team, as well as an operating room, should be available during any complicated intra-aneurysmal procedure, so that timely surgical intervention could be carried out without delay.