Rescue Therapy of Inadvertent Coil Migration for Endovascular Treatment of Type II Endoleak.

Vasc Specialist Int

Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Published: March 2016

Coil migration during endovascular procedures is not an unusual complication, but there is no standard management strategy for bailout. Here, we describe a technique for removal of a migrated coil using a snare. During embolization of type II endoleak from the inferior mesenteric artery in a post-endovascular aneurysm repair patient, the coil migrated to the sigmoidal artery causing an occlusion. We used a microsnare loop and successfully retrieved the migrated coil. This is the first case in Korea that uses a loop snare for the removal of a migrated coil during visceral endovascular treatment to our knowledge. This technique of using a microsnare for removal of displaced coils can be a good resort in selected cases.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816022PMC
http://dx.doi.org/10.5758/vsi.2016.32.1.22DOI Listing

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