Retrieval of Unintended Migrated Detached Coil: Case Report.
10.7461/jcen.2014.16.3.268
- Author:
Jiwoong OH
1
;
Jongyun KIM
;
Sunki HONG
;
Chul HU
;
Jinsu PYEN
;
Kum WHANG
;
Sungmin CHO
;
Do Sung YOU
Author Information
1. Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea. jjongse@hanmail.net
- Publication Type:Case Report
- Keywords:
Aneurysm;
Coil distal migration;
Coil retrieval;
Frame
- MeSH:
Aneurysm;
Arteries;
Cerebral Arteries;
Cerebral Infarction;
Embolization, Therapeutic;
Humans;
Intracranial Aneurysm;
SNARE Proteins
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2014;16(3):268-274
- CountryRepublic of Korea
- Language:English
-
Abstract:
Owing to the rapid development of intervention techniques and devices, endovascular coil embolization of cerebral arteries has become standardized. It is particularly preferred when a patient presents with an unruptured intracranial aneurysm of the posterior communicating artery (PcomA). However, the risk of thrombogenic complications of the coil migration may also result in a large cerebral infarction. When coil migration occurs during embolization, a procedure for removal of the embolic coil should be performed immediately. We experienced a clinically rare case of migration of a framing coil to the distal middle cerebral artery aneurysm during endovascular embolization of an unruptured PcomA aneurysm. The migrated coil was barely retrieved using snare techniques.