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Point-by-point parent artery/sinus obliteration using detachable, pushable, 0.035-inch coils

  • Original Article - Vascular
  • Published:
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Abstract

Background

Parent artery occlusion for intractable aneurysms or sinus packing for dural arteriovenous fistulas (DAVFs) is sometimes difficult and requires many expensive coils to accomplish complete occlusion. To help solve these problems, we reviewed our experience using 0.035-inch coil (0.035 coil; Boston Scientific, San Leandro, CA, USA), which has been used in cardiovascular and abdominal lesions.

Methods

These 0.035 coils were preferably used in addition to the detachable and fibered coils for patients with intractable aneurysms, traumatic vessel blowout, and DAVF. Our strategy was as follows: (1) detachable coils were deployed first for the ideal anchoring of the coils; (2) small fibered coils were additionally deployed to stabilize the coil mass; (3) 0.035 coils were deployed to complete the occlusion.

Results

From January 2012 to December 2013, seven consecutive patients were treated by endovascular embolization with 0.035 coils. Reasons for intervention were parent artery occlusion for carotid blowout (n = 1), internal carotid artery aneurysm (n = 2), traumatic vertebral artery injury (n = 2), vertebral AVF (n = 1), and transverse sinus-sigmoid sinus DAVF (n = 1). In our cases, a mean of 20.1 ± 8.5 coils per vessel were placed, and mean total coil length was 258.4 ± 91.5 cm per vessel. All procedures were safely performed and complete occlusions achieved.

Conclusions

From our initial experience and treatment results, we believe endovascular parent artery occlusion or sinus packing with 0.035 coils to be useful in terms of reducing the number and expense of coils and also accomplishing immediate occlusion.

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Acknowledgments

We thank Charles de Kerckhove for review as per his training through the American Medical Writers Association.

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Authors and Affiliations

  1. Department of Neurosurgery, Graduate School of Biomedical Sciences, Nagasaki University School of Medicine, 1-7-1, Sakamoto, Nagasaki, Japan, 852-8501

    Susumu Yamaguchi, Nobutaka Horie, Kentaro Hayashi, Shuji Fukuda, Yoichi Morofuji, Takeshi Hiu, Tsuyoshi Izumo & Takayuki Matsuo

  2. Department of Radiological Science, Graduate School of Biomedical Sciences, Nagasaki University School of Medicine, 1-7-1, Sakamoto, Nagasaki, Japan, 852-8501

    Minoru Morikawa

Authors
  1. Susumu Yamaguchi
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  2. Nobutaka Horie
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  3. Kentaro Hayashi
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  4. Shuji Fukuda
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  5. Yoichi Morofuji
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  6. Takeshi Hiu
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  9. Takayuki Matsuo
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Corresponding author

Correspondence to Susumu Yamaguchi.

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All procedures performed in studies involving human participants 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. “For this type of study formal consent is not required.”

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This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

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The authors declare that they have no conflict of interest.

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Yamaguchi, S., Horie, N., Hayashi, K. et al. Point-by-point parent artery/sinus obliteration using detachable, pushable, 0.035-inch coils. Acta Neurochir 158, 2089–2094 (2016). https://doi.org/10.1007/s00701-016-2946-6

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  • DOI: https://doi.org/10.1007/s00701-016-2946-6

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