Endovascular extraction of malpositioned fibered platinum microcoils from the aneurysm sac during endovascular therapy

• Published in: American journal of neuroradiology Vol. 18; no. 4; pp. 691 - 695
• Main Authors: Zoarski, GH, Bear, HM, Clouston, JC, Ragheb, J
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Oak Brook, IL Am Soc Neuroradiology 01.04.1997; American Society of Neuroradiology
• Subjects: Adult; Aneurysm - therapy; Aneurysm, Ruptured - therapy; Basilar Artery; Biological and medical sciences; Case Reports; Catheterization - instrumentation; Cerebral Angiography; Cerebral Arteries; Embolization, Therapeutic - adverse effects; Embolization, Therapeutic - instrumentation; Embolization, Therapeutic - methods; Equipment Design; Foreign-Body Migration - etiology; Foreign-Body Migration - therapy; Humans; Male; Medical sciences; Micromanipulation; Middle Aged; Neurosurgery; Platinum; Radiography, Interventional - instrumentation; Radiography, Interventional - methods; Skull, brain, vascular surgery; Subarachnoid Hemorrhage - etiology; Surface Properties; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Human; Intracranial; Nervous system diseases; Aneurysm; Instrumentation therapy; Cardiovascular disease; Basilar artery; Artery; Malposition; Cerebral disorder; Arterial disease; Vascular disease; Case study; Treatment; Central nervous system disease; Complication; Embolization; Cerebrovascular disease
• ISSN: 0195-6108; 1936-959X

We describe two cases of coil malpositioning that occurred during endovascular occlusion of saccular basilar tip aneurysms with fibered platinum microcoils. The technique of endovascular coil extraction, accomplished successfully and without complication in both cases, is described and may be applicable to recently available controlled-detachment coil systems.