Advertisement

Removal of a Distally Migrated and Wedged Small Detachable Coil Using a 4MAX Penumbra Reperfusion Catheter

  • Hyon-Jo KwonEmail author
Correspondence
  • 8 Downloads

Introduction

Migration of a detachable coil during embolization of a cerebral aneurysm is not rare [1, 2, 3, 4, 5, 6]. Surgery and techniques using wires, snares, and stent-retrievers have been used for the retrieval of the migrated coils [1, 2, 3, 4, 5]; however, surgical removal is time-consuming and the other endovascular techniques need to introduce the devices through the coil mass for removal. Recently, a small coil which had migrated and became wedged in the distal posterior cerebral artery, was successfully retrieved using a 4MAX reperfusion catheter (Penumbra, Alameda, CA, USA).

Case Presentation

A 54-year-old female presented to the emergency department with severe headache. On brain computed tomographic angiography, aneurysms were observed at the vertebrobasilar artery junction with distinct subarachnoid hemorrhage. It was decided to perform a coil embolization and the patient was moved to the angiosuite. With the patient under general anesthesia, an 8F sheath was placed in...

Notes

Acknowledgements

The authors thank H.H. Jung, R.N. and J.B. Yu, RT for their assistance in the preparation of the manuscript.

Compliance with ethical guidelines

Conflict of interest

H.-J. Kwon declares that he has no competing interests.

Ethical standards

All procedures reported in this article were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The institutional review board of Chungnam National University Hospital approved this study and informed consent to publish was obtained from the patient in question. This article does not contain any studies with animals performed by the author.

References

  1. 1.
    Ding D, Liu KC. Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms. J Neurointerv Surg. 2014;6:428–31.CrossRefPubMedGoogle Scholar
  2. 2.
    Turek G, Kochanowicz J, Lewszuk A, Lyson T, Zielinska-Turek J, Chwiesko J, Mariak Z. Early surgical removal of migrated coil/stent after failed embolization of intracranial aneurysm. J Neurosurg. 2015;123:841–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Lee CY. Use of wire as a snare for endovascular retrieval of displaced or stretched coils: rescue from a technical complication. Neuroradiology. 2011;53:31–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Dinc H, Kuzeyli K, Kosucu P, Sari A, Cekirge S. Retrieval of prolapsed coils during endovascular treatment of cerebral aneurysms. Neuroradiology. 2006;48:269–72.CrossRefPubMedGoogle Scholar
  5. 5.
    Leslie-Mazwi TM, Heddier M, Nordmeyer H, Stauder M, Velasco A, Mosimann PJ, Chapot R. Stent retriever use for retrieval of displaced microcoils: a consecutive case series. AJNR Am J Neuroradiol. 2013;34:1996–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Janjua N, Bulic S, Tan BC, Panichpisal K, Miller J. Salvage of distal non-target coil embolization with stent placement and intravenous eptifibatide in a ruptured, unsecured, atypical aneurysm. J Neurointerv Surg. 2014;6:e21.CrossRefPubMedGoogle Scholar
  7. 7.
    Nikoubashman O, Pjontek R, Brockmann MA, Tolba R, Wiesmann M. Retrieval of migrated coils with stent retrievers: an animal study. AJNR Am J Neuroradiol. 2015;36:1162–6.CrossRefPubMedGoogle Scholar
  8. 8.
    Kwon HJ, Shin JW, Park BS, Lim JW, Jeong HS, Song HJ, Kim J, Koh HS. Use of microcatheters for suction thrombectomy of acute distal occlusions. Neuroradiology. 2018;60:1357–60.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurosurgery, Daejeon-Chungnam Regional Cerebrovascular CenterChungnam National University Medical School and HospitalDaejeonKorea (Republic of)

Personalised recommendations