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Use of wire as a snare for endovascular retrieval of displaced or stretched coils: rescue from a technical complication

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Author(s)
Chang-Young Lee
Keimyung Author(s)
Lee, Chang Young
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Neuroradiology
Issued Date
2011
Volume
53
Issue
1
Keyword
Cerebral aneurysmCoilComplicationRetrieval
Abstract
Introduction The displacement or stretching of coils during
coiling of cerebral aneurysms is not an unusual technical
complication, thus causing potentially disastrous consequences.
Here, a simple technique using a wire as a snare for the
removal of displaced and stretched coils is described.
Methods The simple wire technique was used to remove a
coil displaced in the distal M2 that a microsnare had failed
to capture and another coil stretched during the coiling of
cerebral aneurysms.
Results The displaced coil lodged in the distal small cerebral
vessel was entwined and removed using a microwire that
was shaped manually as a pigtail at the tip. To retrieve the
stretched coil, where a proximally stretched portion of the
coil still remains in the delivery catheter with the distal
portion placed in the aneurysm, a guidewire with a J-shaped
tip was used. The coil was hooked and entwined by twisting
this wire tip, which could be removed without difficulty.
Conclusion This simple technique using a wire as a snare
could be a useful method for removing displaced or
stretched coils in selected cases.
Keywords Cerebral aneurysm. Coil . Complication .
Retrieval
Keimyung Author(s)(Kor)
이창영
Publisher
School of Medicine
Citation
Chang-Young Lee. (2011). Use of wire as a snare for endovascular retrieval of displaced or stretched coils: rescue from a technical complication. Neuroradiology, 53(1), 31–35. doi: 10.1007/s00234-010-0679-4
Type
Article
ISSN
0028-3940
Source
https://link.springer.com/article/10.1007%2Fs00234-010-0679-4
DOI
10.1007/s00234-010-0679-4
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33532
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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