J Cerebrovasc Endovasc Neurosurg.
2014 Sep;16(3):268-274. 10.7461/jcen.2014.16.3.268.
Retrieval of Unintended Migrated Detached Coil: Case Report
- Affiliations
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- 1Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea. jjongse@hanmail.net
- 2Department of Neurosurgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijongbu, Korea.
- KMID: 1963166
- DOI: http://doi.org/10.7461/jcen.2014.16.3.268
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.
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