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
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- 1Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. tslee@snubh.org
- KMID: 2162127
- DOI: http://doi.org/10.5758/vsi.2016.32.1.22
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.
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