PT  - JOURNAL ARTICLE
AU  - Alan Mendez-Ruiz
AU  - Aldo A Mendez
AU  - Cynthia B Zevallos
AU  - Darko Quispe Orozco
AU  - Mudassir Farooqui
AU  - Edgar A Samaniego
AU  - Sudeepta Dandapat
AU  - Santiago Ortega-Gutierrez
TI  - Retrieval of distally migrated coil using stent retriever and proximal aspiration
AID  - 10.1136/neurintsurg-2020-016993
DP  - 2021 Sep 01
TA  - Journal of NeuroInterventional Surgery
PG  - 860--860
VI  - 13
IP  - 9
4099  - http://jnis.bmj.com/content/13/9/860.short
4100  - http://jnis.bmj.com/content/13/9/860.full
SO  - J NeuroIntervent Surg2021 Sep 01; 13
AB  - 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