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Neuroradiology

, Volume 48, Issue 4, pp 269–272 | Cite as

Retrieval of prolapsed coils during endovascular treatment of cerebral aneurysms

  • Hasan DincEmail author
  • Kayhan Kuzeyli
  • Polat Kosucu
  • Ahmet Sari
  • Saruhan Cekirge
Interventional Neuroradiology

Abstract

One of the feared complications during detachable coil embolization of cerebral aneurysms is herniation of a coil loop into the parent artery. Although coil protrusion of one or two loops into the parent vessel may not cause adverse events and in some instances can be ignored, the authors believe that coil retrieval is indicated if a free end is seen pulsating along the blood flow stream to prevent migration of the entire coil mass. In one patient, a microballoon was inflated across the neck of the aneurysm during retrieval of a herniated coil to prevent further coil herniation from the aneurysm sac. We present two cases in which prolapsed coils were successfully retrieved either using a microsnare and balloon combination or a microsnare alone. This report focuses on the efficacy of the Amplatz microsnare for such retrievals and the circumstances in which a herniated coil needs to be retrieved. We report two cases in which embolization coils partially migrated into the parent artery during endovascular treatment of cerebral aneurysm and were retrieved using the Amplatz Nitinol microsnare.

Keywords

Aneurysms Cerebral Complications Endovascular treatment 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Hasan Dinc
    • 1
    • 4
    Email author
  • Kayhan Kuzeyli
    • 2
  • Polat Kosucu
    • 1
  • Ahmet Sari
    • 1
  • Saruhan Cekirge
    • 3
  1. 1.Department of Radiology, Faculty of MedicineKaradeniz Technical UniversityTrabzonTurkey
  2. 2.Department of Neurosurgery, Faculty of MedicineKaradeniz Technical UniversityTrabzonTurkey
  3. 3.Department of Radiology, Faculty of MedicineHacettepe UniversityAnkaraTurkey
  4. 4.Department of RadiologyKTU Farabi HospitalTrabzonTurkey

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