Rescue Therapy of Inadvertent Coil Migration for Endovascular Treatment of Type II Endoleak.

Author: Kanghaeng LEE ¹ ; Hyung Sub PARK ; Taeseung LEE
Author Information

1. Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. tslee@snubh.org
Publication Type:Case Report
Keywords: Endovascular aneurysm repair; Type 2 endoleak; Coil embolization
MeSH: Aneurysm; Arteries; Colon, Sigmoid; Embolization, Therapeutic; Endoleak*; Endovascular Procedures; Health Resorts; Humans; Korea; Mesenteric Artery, Inferior; SNARE Proteins
From:Vascular Specialist International 2016;32(1):22-25
CountryRepublic of Korea
Language:English
Abstract: Coil migration during endovascular procedures is not an unusual complication, but there is no standard management strategy for bailout. Here, we describe a technique for removal of a migrated coil using a snare. During embolization of type II endoleak from the inferior mesenteric artery in a post-endovascular aneurysm repair patient, the coil migrated to the sigmoidal artery causing an occlusion. We used a microsnare loop and successfully retrieved the migrated coil. This is the first case in Korea that uses a loop snare for the removal of a migrated coil during visceral endovascular treatment to our knowledge. This technique of using a microsnare for removal of displaced coils can be a good resort in selected cases.