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Retrieval of distally migrated coil using stent retriever and proximal aspiration
  1. Alan Mendez-Ruiz1,
  2. Aldo A Mendez1,
  3. Cynthia B Zevallos1,
  4. Darko Quispe Orozco1,
  5. Mudassir Farooqui1,
  6. Edgar A Samaniego2,
  7. Sudeepta Dandapat1,
  8. Santiago Ortega-Gutierrez2
  1. 1 Neurology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
  2. 2 Neurology, Radiology and Neurosurgery, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
  1. Correspondence to Dr Santiago Ortega-Gutierrez, Neurology, Radiology and Neurosurgery, The University of Iowa Hospitals and Clinics, Iowa City IA 52242, USA; santy-ortega{at}uiowa.edu

Abstract

Endovascular coiling has become the preferred treatment of many centers for the management of both ruptured and unruptured aneurysms. Coil migration is a rare complication that can lead to vessel occlusion in 90% of the cases. Endovascular techniques for coil retrieval have shown less complication rates than open surgery. Stent retriever devices have been successfully used for the retrieval of proximally migrated coils, however, distally migrated coils still represent a challenge with greater risk of complications. In the present technical video 1, we demonstrate the successful retrieval of a distally M3 migrated coil using a 3 mm Trevo XP ProVue stent riever (Stryker Neurovascular, Fremont, CA, USA) in combination with proximal aspiration.

Video 1
  • coil
  • aneurysm
  • angiography
  • balloon
  • complication

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Footnotes

  • Contributors All authors contributed to the conception and drafting of the manuscript. All authors critically reviewed the manuscript and approved its final submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests Santiago Ortega-Gutierrez is a consultant for Stryker Neurovascular. The rest of the authors do not have any financial or conflict of interest in any of the procedures, drugs, or devices described in this article.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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