A direct aspiration first pass technique for retrieval of a detached coil. (6th November 2015)

• Record Type: Journal Article
• Authors: Masahira, Noritaka; Ohta, Tsuyoshi; Fukui, Naoki; Yanagawa, Toshio; Kondou, Yuichirou; Morimoto, Masanori; Ueba, Tetsuya
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-11-06
• Subjects: Aneurysm -- Angiography -- Intervention -- Coil -- Complication; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2015-012039
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 64-year-old man was referred to our hospital for treatment of a cerebral aneurysm that was incidentally found. The aneurysm was 7 mm in size and located on the left anterior communicating artery. Using a balloon assisted technique, we performed coil embolization. During the second coil insertion, the first coil was dislodged into the anterior communicating artery. We attempted coil retrieval using a snare, which was unsuccessful. We applied a direct aspiration first pass technique (ADAPT) and advanced a Penumbra 4MAX immediately proximal to the dislodged coil; the dislodged coil was then successfully retrieved. ADAPT is a simple procedure for retrieval of a detached coil, and it can be used as an alternative to the snare technique.