Snare, stent retriever, and aspiration for a prematurely detached coil during treatment of a reruptured anterior communicating artery aneurysm
Advanced salvage techniques are an essential tool in the armamentarium of any experienced endovascular surgeon. In this video, we show a patient presenting with rerupture of an anterior communicating artery (ACoA) aneurysm that had been treated with balloon-assisted coiling several months earlier in...
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| Veröffentlicht in: | Interventional neuroradiology 2024-02, Vol.30 (1), p.130-131 |
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| creator | Cappuzzo, Justin M Waqas, Muhammad Housley, Steven B Monteiro, Andre Siddiqui, Adnan H Levy, Elad I |
| description | Advanced salvage techniques are an essential tool in the armamentarium of any experienced endovascular surgeon. In this video, we show a patient presenting with rerupture of an anterior communicating artery (ACoA) aneurysm that had been treated with balloon-assisted coiling several months earlier in a ruptured setting. Premature coil detachment occurred during an attempt to coil a new bleb that the aneurysm had developed, and a sequence of salvage maneuvers was performed. An initial attempt to implant that coil failed, and retrieval with a snare unfortunately caused coil fragmentation and occlusion of the anterior cerebral artery (ACA). Further salvage maneuvers required inducing flow-arrest with a balloon-guide catheter, use of a stent-retriever to recanalize the ACA A2 segment, and aspiration to capture a small fragment of coil that was seen at the tip of the balloon guide catheter. |
| doi_str_mv | 10.1177/15910199221115612 |
| format | Article |
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| ispartof | Interventional neuroradiology, 2024-02, Vol.30 (1), p.130-131 |
| issn | 1591-0199 2385-2011 |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Adult Aneurysm, Ruptured - surgery Aneurysm, Ruptured - therapy Anterior Cerebral Artery Child Embolization, Therapeutic - methods Humans Intracranial Aneurysm - surgery Intracranial Aneurysm - therapy Stents Treatment Outcome |
| title | Snare, stent retriever, and aspiration for a prematurely detached coil during treatment of a reruptured anterior communicating artery aneurysm |
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