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使用支架取栓器从大脑远端血管中取出移位的弹簧圈:病例系列

Retrieval of Migrated Coils From Distal Cerebral Vasculature Using Stent Retriever: A Case Series.

作者信息

Kulhari Ashish, Fourcand Farah, Singh Amrinder, Zacharatos Haralabos, Mehta Siddhart, Kirmani Jawad F

机构信息

Department of Neurology, Research Medical Center, Kansas City, USA.

Department of Neurology, University of Missouri Kansas City School of Medicine, Kansas City, USA.

出版信息

Cureus. 2023 Apr 6;15(4):e37213. doi: 10.7759/cureus.37213. eCollection 2023 Apr.

Abstract

The incidence of coil dislocation during an endovascular embolization of intracranial aneurysm is low but it can lead to serious thrombo-embolic complications. Therefore, coil displacement/migration often requires either retrieval or fixation of the errant coil with a stent. There are no standard recommended methods of coil retrieval. We present a series of three cases in which off-label application of a stent retriever allowed successful retrieval of herniated coils.

摘要

颅内动脉瘤血管内栓塞术中弹簧圈脱位的发生率较低,但可导致严重的血栓栓塞并发症。因此,弹簧圈移位/迁移通常需要用支架取出或固定移位的弹簧圈。目前尚无标准推荐的弹簧圈取出方法。我们报告了3例病例,其中通过非标签使用支架取栓器成功取出了疝出的弹簧圈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74e/10163925/2ac42065a844/cureus-0015-00000037213-i01.jpg

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