Introduction Wide-necked aneurysm will always be a challenge to treat, even with many adjunctive techniques. In a developing country where the equipment is limited, also the cost of the treatment is another important consideration, the less cost and equipment will be preferable. In ruptured case, use of stent also has disadvantages due to necessity of anti-platelet aggregation.

Materials and methods The author present his experience in treating cases of ruptured wide-necked aneurysm with double micro-catheter.

Results Tight packing of the coils with preservation of parent artery can be achieved with this technique. There were no rupture during coiling, no mortality in one-year follow-up.

Conclusion Double micro-catheter technique is useful and effective in treating wide-necked aneurysm, especially in ruptured case.

Disclosures H. Harsan: None.