Endovascular coil retrieval using a TrevoProVue stentriever

Abstract

A 65-year-old man with a left cavernous internal carotid artery cerebral aneurysm experienced a premature detachment of the first framing coil (10 mm×40 cm Penumbra Complex Standard) during a coil embolization procedure. The coil herniated into the anterior cerebral artery and pericallosal artery. Multiple attempts to retrieve the coil using both a 2 and 4 mm Microsnare (Amplatz GooseNeck) failed. A Trevo ProVue retrievable stent was then used to retrieve the coil without any adverse events. This case report highlights a novel use of a stent for the removal of a foreign body from the cerebrovascular system.

Endovascular retrieval of a dislocated coil in the peroneal artery with a stent retriever

“… 7 Coil retrieval in patients has been reported with various stent retrievers, namely the Solitaire, the Trevo ™ (Stryker, Kalamazoo, MI) and the Catch device (Balt, Montmorency, France), and was successful in all 19 reported cases. 3 – 6 , 8 While all published cases were dealt with intracranial coils, we also showed that it is possible to recover a small coil in a peripheral artery with a small diameter. In summary, coil retrieval with stent retrievers can be considered an effective treatment option in a vast variety of settings.…”

Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers

“…Kabbani et al 11 reports a case of a prematurely detached coil migrated into the left pericallosal artery, in which after previous failed attempts with Microsnares, a Trevo ProVue® was used to successfully retrieve the coil in 2 passes. Similarly, Nas et al 12 presented another case of a partially protruding coil being retrieved with a Solitaire® device after 3 passes, with no mention of the device construction in its ability to successfully retrieve the coil.…”

Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

“…[6,7] The stent retriever Trevo ProVue (Stryker, Kalamazoo, Michigan, USA), which is indicated for thrombectomy during acute ischemic strokes, has also been used for foreign body retrieval. [8]…”

“…[4] Various options exist to resolve this complication. [5-8] We report one additional option that has already been described for peripheral use but never for the retrieval of a foreign body that has migrated to the brain through a transradial approach.…”