RT Journal Article SR Electronic T1 Republished: A direct aspiration first pass technique for retrieval of a detached coil JF Journal of NeuroInterventional Surgery JO J NeuroIntervent Surg FD BMJ Publishing Group Ltd. SP e44 OP e44 DO 10.1136/neurintsurg-2015-012039.rep VO 8 IS 11 A1 Masahira, Noritaka A1 Ohta, Tsuyoshi A1 Fukui, Naoki A1 Yanagawa, Toshio A1 Kondou, Yuichirou A1 Morimoto, Masanori A1 Ueba, Tetsuya YR 2016 UL http://jnis.bmj.com/content/8/11/e44.abstract 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.