Vasc Spec Int.  2016 Mar;32(1):22-25. 10.5758/vsi.2016.32.1.22.

Rescue Therapy of Inadvertent Coil Migration for Endovascular Treatment of Type II Endoleak

Affiliations
  • 1Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. tslee@snubh.org

Abstract

Coil migration during endovascular procedures is not an unusual complication, but there is no standard management strategy for bailout. Here, we describe a technique for removal of a migrated coil using a snare. During embolization of type II endoleak from the inferior mesenteric artery in a post-endovascular aneurysm repair patient, the coil migrated to the sigmoidal artery causing an occlusion. We used a microsnare loop and successfully retrieved the migrated coil. This is the first case in Korea that uses a loop snare for the removal of a migrated coil during visceral endovascular treatment to our knowledge. This technique of using a microsnare for removal of displaced coils can be a good resort in selected cases.

Keyword

Endovascular aneurysm repair; Type 2 endoleak; Coil embolization

MeSH Terms

Aneurysm
Arteries
Colon, Sigmoid
Embolization, Therapeutic
Endoleak*
Endovascular Procedures
Health Resorts
Humans
Korea
Mesenteric Artery, Inferior
SNARE Proteins
SNARE Proteins
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