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KMID : 1037520160320010022
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Vascular Specialist International
2016 Volume.32 No. 1 p.22 ~ p.25
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Rescue Therapy of Inadvertent Coil Migration for Endovascular Treatment of Type II Endoleak
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Lee Kang-Haeng
Park Hyung-Sub
Lee Tae-Seung
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Abstract
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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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KEYWORD
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Endovascular aneurysm repair, Type 2 endoleak, Coil embolization
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