Retrieval of Displaced Coil Using a Solitaire® Stent

O’Hare, Alan; Rogopoulos, A; Stracke, Paul; Chapot, René

doi:10.1007/s00062-010-0020-y

Cited by 34 publications

(23 citation statements)

References 11 publications

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“…Two case reports and a relatively large case series have described the use of stentriever devices for migrated coil retrieval 4 20 21. O'Hare et al 21 reported a case of a ruptured wide-necked 13 mm PCOM aneurysm which was treated with the balloon remodeling technique.…”

Section: Resultsmentioning

confidence: 99%

Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms

Ding

Liu

2013

J NeuroIntervent Surg

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Migration of a coil during endovascular treatment of intracranial aneurysm occurs in 2-6% of cases. The consequences of coil migration vary significantly from minor flow alterations of the parent artery which are asymptomatic to thromboembolic occlusion of major intracranial vessels resulting in large territory infarcts. We performed a comprehensive literature review and identified 37 reported cases of migrated coil retrieval consisting of 10 case reports and six case series. Most of the aneurysms presented with rupture (65%) and were located in the anterior circulation (70%). The endovascular treatment approaches were coil embolization alone (57%), stent-assisted coiling (26%) and balloon remodeling (17%). Endovascular retrieval was performed with microwires, the Alligator Retrieval device, Merci devices, snares and stentrievers. There was a single report of microsurgical extraction following failed endovascular removal and three cases of coil fracture in which the coil fragments were secured to the vessel walls with stents.

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Section: Resultsmentioning

confidence: 99%

Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms

Ding

Liu

2013

J NeuroIntervent Surg

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“…This was previously published by our group. 14 We have since used the technique with success in a variety of scenarios. Use of a stent retriever in this role, as with many of the other techniques proposed, represents an off-label indication for the device.…”

Section: Discussionmentioning

confidence: 99%

Stent Retriever Use for Retrieval of Displaced Microcoils: A Consecutive Case Series

Leslie-Mazwi

Heddier

Nordmeyer

et al. 2013

AJNR Am J Neuroradiol

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SUMMARY:Coil displacement during endovascular coiling procedures may require coil retrieval in the context of flow limitation or thromboembolic risk. No standard recommended method of coil retrieval exists. We present a consecutive series of 14 patients with displaced coil during aneurysm coiling in whom the complication was effectively managed with the use of a stent retriever system. Two illustrative cases from the 14 are described, and technical notes are detailed regarding use of the technique. The use of stent retrievers presents a simple, safe, and effective choice for removal of prolapsed coils during aneurysm coiling. ABBREVIATION: ACA ϭ anterior cerebral artery

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“…Retrieval was performed in 2 different manners: 1) Standard thrombectomy technique: the microcatheter and stent retriever were simultaneously pulled into the guiding catheter, without intentional trapping of the coil. 2) A retrieval technique as described by O'Hare et al 8 : the microcatheter and stent retriever were simultaneously pulled into the guiding catheter, with intentional trapping of the coil (see below). Retrieval was considered successful only when complete coil retrieval was achieved.…”

Section: Methodsmentioning

confidence: 99%