Department of Diagnostic and Interventional Radiology and Neuroradiology, Diakonissenhospital Flensburg, Knuthsraße 1, 24939 Flensburg, Germany.
J Clin Neurosci. 2013 Jun;20(6):884-6. doi: 10.1016/j.jocn.2012.06.012. Epub 2013 Apr 23.
Coil migration during embolization is an emergency, requiring individual solutions. A 71-year-old female patient was referred to our hospital suffering from subarachnoid hemorrhage due to a ruptured giant aneurysm of the ophthalmic segment of the right internal carotid artery (ICA). During the endovascular procedure, a coil migrated in the ICA. Coil dislocation could be treated by either retrieval or fixation. On intention to treat we retrieved the coil with the self-expanding Solitaire(®) AB stent (Ev3, Irvine, CA, USA). The Solitaire(®) stent is established to perform mechanical thrombectomy for treatment of acute stroke. This report demonstrates the Solitaire(®) stent's potential for safe and effective retrieval of dislocated coils. Other retrieval systems will be discussed.
在栓塞过程中发生的线圈迁移是一种紧急情况，需要个体化解决方案。一位 71 岁的女性患者因右侧颈内动脉（ICA）眼段的巨大动脉瘤破裂而蛛网膜下腔出血，被转至我院。在血管内治疗过程中，线圈迁移到了 ICA 中。线圈脱位可以通过取出或固定来处理。我们原本打算使用自膨式 Solitaire(®) AB 支架（Ev3，加利福尼亚州欧文市）取出线圈。Solitaire(®)支架的设计目的是进行机械血栓切除术，以治疗急性中风。本报告展示了 Solitaire(®)支架安全有效地取出脱位线圈的潜力。其他取出系统也将进行讨论。
