PT  - JOURNAL ARTICLE
AU  - Noritaka Masahira
AU  - Tsuyoshi Ohta
AU  - Naoki Fukui
AU  - Toshio Yanagawa
AU  - Yuichirou Kondou
AU  - Masanori Morimoto
AU  - Tetsuya Ueba
TI  - Republished: A direct aspiration first pass technique for retrieval of a detached coil
AID  - 10.1136/neurintsurg-2015-012039.rep
DP  - 2016 Nov 01
TA  - Journal of NeuroInterventional Surgery
PG  - e44--e44
VI  - 8
IP  - 11
4099  - http://jnis.bmj.com/content/8/11/e44.short
4100  - http://jnis.bmj.com/content/8/11/e44.full
SO  - J NeuroIntervent Surg2016 Nov 01; 8
AB  - A 64-year-old man was referred to our hospital for treatment of a cerebral aneurysm that was incidentally found. The aneurysm was 7 mm in size and located on the left anterior communicating artery. Using a balloon assisted technique, we performed coil embolization. During the second coil insertion, the first coil was dislodged into the anterior communicating artery. We attempted coil retrieval using a snare, which was unsuccessful. We applied a direct aspiration first pass technique (ADAPT) and advanced a Penumbra 4MAX immediately proximal to the dislodged coil; the dislodged coil was then successfully retrieved. ADAPT is a simple procedure for retrieval of a detached coil, and it can be used as an alternative to the snare technique.