支架辅助弹簧圈栓塞术终末期弹簧圈卡顿病例
Case of a Stuck Coil in the Final Stage of Stent-Assisted Coil Embolization.
作者信息
Torikoshi Sadaharu, Ikeda Hiroyuki, Otsuka Ryotaro, Tsujimoto Yoshitaka, Sano Noritaka, Hayase Makoto, Nishimura Masaki, Toda Hiroki
机构信息
Department of Neurosurgery, Fukui Red Cross Hospital, Fukui, Fukui, Japan.
Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
出版信息
J Neuroendovasc Ther. 2021;15(10):659-664. doi: 10.5797/jnet.cr.2020-0123. Epub 2021 Jan 28.
OBJECTIVE
We report a case in which two coils became stuck in a microcatheter at the end of coil embolization for a cerebral aneurysm.
CASE PRESENTATION
Two coils became stuck in the microcatheter at the final stage of stent-assisted coil embolization for an unruptured anterior communicating artery aneurysm. The rear end of a detached coil was near the tip of the microcatheter. The coil inserted next was pushed out of the microcatheter and pulled back into the microcatheter. Then, the rear end of the detached coil and the retracted coil meshed into the microcatheter, and became immobile. The microcatheter and these two coils were removed simultaneously, and coil embolization was finished.
CONCLUSION
At the end of coil embolization, the filling rate is relatively high. Insertion of another coil and traction may cause the coils to become stuck in the microcatheter.
目的
我们报告一例在脑动脉瘤弹簧圈栓塞术结束时两个弹簧圈卡在微导管中的病例。
病例介绍
在未破裂的前交通动脉瘤的支架辅助弹簧圈栓塞术的最后阶段，两个弹簧圈卡在了微导管中。一个分离的弹簧圈的后端靠近微导管尖端。接下来插入的弹簧圈被推出微导管，然后又被拉回微导管。然后，分离弹簧圈的后端与缩回的弹簧圈在微导管中相互啮合，无法移动。微导管和这两个弹簧圈被同时取出，弹簧圈栓塞术完成。
结论
在弹簧圈栓塞术结束时，填充率相对较高。插入另一个弹簧圈并进行牵引可能会导致弹簧圈卡在微导管中。
Zotero 插件