Intraprocedural rupture management for intracranial aneurysm rupture during coil embolization by manual common carotid artery compression.

We report cases of intraprocedural rupture (IPR) management of a ruptured intracranial aneurysm during coil embolization by manual common carotid artery (CCA) compression. Manual CCA compression and aneurysm obliteration were performed simultaneously at the point of rupture. Early IPR detection followed by simultaneous endovascular coiling and manual CCA compression may lead to a benign clinical course in most cases.