PMID: 11904050Mar 21, 2002Paper

Transvascular coil hooking procedure to retrieve an unraveled Guglielmi detachable coil: technical note

Neurosurgery
Christian RaftopoulosPierre Mathurin

Abstract

A patient with an anterior communicating artery aneurysm was treated by use of endovascular coiling, and a Guglielmi detachable coil (Boston Scientific/Target, Fremont, CA) fractured distal to its connection to the delivering catheter. The unraveled coil floated out from the aneurysm to extend into the bifurcation of the left middle cerebral artery. We describe the microsurgical procedure used to retrieve the coil after an endovascular approach failed. The left anterior cerebral artery was punctured just below the aneurysm neck, and a titanium microhook was introduced to anchor the coil and pull it out. Slight traction was exerted before sectioning the coil to avoid protrusion of the stump into the parent vessel. The unraveled coil was removed in totality without permanent morbidity. This report describes the case of a rare complication of coil embolization treated with a minimal transarterial coil hooking procedure.

Citations

Aug 1, 2015·Journal of Neurosurgery·Grzegorz TurekZenon Mariak
Apr 27, 2016·Journal of Cerebrovascular and Endovascular Neurosurgery·Devendra Pal SinghWon Joo Lee
Oct 31, 2019·Journal of Neurointerventional Surgery·Mohamad AbdalkaderThanh N Nguyen
Nov 30, 2006·Acta neurochirurgica·C RaftopoulosUNKNOWN Interventional Cerebrovascular Group, Université Catholique de Louvain
Oct 30, 2013·Journal of Cerebrovascular and Endovascular Neurosurgery·Dale Ding, Kenneth C Liu
Feb 14, 2015·AJNR. American Journal of Neuroradiology·O NikoubashmanM Wiesmann
Aug 8, 2013·Journal of Neurointerventional Surgery·Dale Ding, Kenneth C Liu
Oct 30, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Mohamed M AbdelradyMostafa Mahmoud

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