Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers

Miguel Schüller-Arteaga; Jorge Galván-Fernández; Paloma Jiménez-Arribas; Leonor Nogales-Martin; Carlos Rodríguez-Arias; Mario Martínez-Galdámez

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자료유형: 학술저널

저자정보: Miguel Schüller-Arteaga (Hospital Clínico Universitario de Valladolid) Jorge Galván-Fernández (Hospital Clínico Universitario de Valladolid) Paloma Jiménez-Arribas (Hospital Clínico Universitario de Valladolid) Leonor Nogales-Martin (Hospital Clínico Universitario de Valladolid) Carlos Rodríguez-Arias (Hospital Clínico Universitario de Valladolid) Mario Martínez-Galdámez (Hospital Clínico Universitario de Valladolid)

저널정보: 대한신경중재치료의학회 Neurointervention Neurointervention Vol.16 No.2

발행연도: 2021.1

수록면: 158 - 164 (7page)

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연구주제

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연구배경

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연구방법

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연구결과

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Coil prolapse or migration is a rare but potentially serious complication that may occur during aneurysm embolization, with no standard management currently described. Here we describe our experience with the Embolus Retriever with Interlinked Cages (ERIC) device® (Microvention, Aliso Viejo, CA, USA) for the retrieval of prolapsed or migrated coils in a case series and Flow-Model analysis. First, a retrospective review was performed using our institution database for patients in which coil prolapse or migration occurred during aneurysm embolization, and data was collected and analyzed. Second, an in vitro Flow-Model analysis was performed comparing the ERIC device® with other stent retrievers for coil retrieval. In 2 cases, the ERIC device® successfully retrieved the displaced coil from intracranial circulation in 1 pass, after failure with other devices. In the Flow-Model, again the ERIC device® achieved success for retrieving a detached coil, whereas 2 other different stent retrievers failed to capture the coil after 2 attempts. The ERIC device® appears to be a safe and effective tool for retrieving a prolapsed or migrated coil from the intracranial circulation.

#Therapeutic embolization #Humans #Stents #Intracranial aneurysm #Retrospective studies #Thrombectomy

참고문헌 (17)

참고문헌 신청

Molyneux A / 2002 / International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial / Lancet 360:1267~1274

Bradac GB / 2007 / Periprocedural morbidity and mortality by endovascular treatment of cerebral aneurysms with GDC: a retrospective 12-year experience of a single center / Neurosurg Rev 30:117~125

van Rooij WJ / 2006 / Procedural complications of coiling of ruptured intracranial aneurysms : incidence and risk factors in a consecutive series of 681 patients / AJNR Am J Neuroradiol 27:1498~1501

Borggrefe J / 2016 / Complications associated with cerebral aneurysm morphology in balloon-assisted coil embolization of ruptured and unruptured aneurysms-a single-center analysis of 116 consecutive cases / World Neurosurg 91:483~489

Leslie-Mazwi TM / 2013 / Stent retriever use for retrieval of displaced microcoils : a consecutive case series / AJNR Am J Neuroradiol 34:1996~1999

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