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Atypical Incomplete Detachment Following PulseRider Deployment

OBJECTIVE: Owing to the limited time since the introduction of the PulseRider (PR), inconsequential or rare complications that clinicians should be aware of remain unreported yet. Here, we report a rare complication of incomplete detachment. CASE PRESENTATION: A 50-year-old male underwent PR-assiste...

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Autores principales: Goto, Shunsaku, Izumi, Takashi, Nishihori, Masahiro, Araki, Yoshio, Yokoyama, Kinya, Uda, Kenji, Saito, Ryuta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370634/
https://www.ncbi.nlm.nih.gov/pubmed/37502632
http://dx.doi.org/10.5797/jnet.cr.2021-0095
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author Goto, Shunsaku
Izumi, Takashi
Nishihori, Masahiro
Araki, Yoshio
Yokoyama, Kinya
Uda, Kenji
Saito, Ryuta
author_facet Goto, Shunsaku
Izumi, Takashi
Nishihori, Masahiro
Araki, Yoshio
Yokoyama, Kinya
Uda, Kenji
Saito, Ryuta
author_sort Goto, Shunsaku
collection PubMed
description OBJECTIVE: Owing to the limited time since the introduction of the PulseRider (PR), inconsequential or rare complications that clinicians should be aware of remain unreported yet. Here, we report a rare complication of incomplete detachment. CASE PRESENTATION: A 50-year-old male underwent PR-assisted coil embolization for a basilar tip aneurysm. Coiling was completed, and the detachment procedure was performed using a detachment machine; the success signal was observed. The delivery microcatheter was subsequently advanced back up to the proximal markers, and no reapproximation of the proximal markers, which indicates successful detachment, was observed. However, only one of the proximal markers returned to the microcatheter, and incomplete detachment of only one leg was detected. Ultimately, electrical detachment was not possible, and physical separation by tension was achieved. CONCLUSION: Our case report presents a rare case of a detachment problem in the PR. The PR could not be detached, although the signal revealed successful detachment. Therefore, careful withdrawal of the delivery wire by checking not only the proximal markers but also the behavior of the entire PR and coil complex is important.
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spelling pubmed-103706342023-07-27 Atypical Incomplete Detachment Following PulseRider Deployment Goto, Shunsaku Izumi, Takashi Nishihori, Masahiro Araki, Yoshio Yokoyama, Kinya Uda, Kenji Saito, Ryuta J Neuroendovasc Ther Case Report OBJECTIVE: Owing to the limited time since the introduction of the PulseRider (PR), inconsequential or rare complications that clinicians should be aware of remain unreported yet. Here, we report a rare complication of incomplete detachment. CASE PRESENTATION: A 50-year-old male underwent PR-assisted coil embolization for a basilar tip aneurysm. Coiling was completed, and the detachment procedure was performed using a detachment machine; the success signal was observed. The delivery microcatheter was subsequently advanced back up to the proximal markers, and no reapproximation of the proximal markers, which indicates successful detachment, was observed. However, only one of the proximal markers returned to the microcatheter, and incomplete detachment of only one leg was detected. Ultimately, electrical detachment was not possible, and physical separation by tension was achieved. CONCLUSION: Our case report presents a rare case of a detachment problem in the PR. The PR could not be detached, although the signal revealed successful detachment. Therefore, careful withdrawal of the delivery wire by checking not only the proximal markers but also the behavior of the entire PR and coil complex is important. The Japanese Society for Neuroendovascular Therapy 2021-12-24 2022 /pmc/articles/PMC10370634/ /pubmed/37502632 http://dx.doi.org/10.5797/jnet.cr.2021-0095 Text en ©2022 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Goto, Shunsaku
Izumi, Takashi
Nishihori, Masahiro
Araki, Yoshio
Yokoyama, Kinya
Uda, Kenji
Saito, Ryuta
Atypical Incomplete Detachment Following PulseRider Deployment
title Atypical Incomplete Detachment Following PulseRider Deployment
title_full Atypical Incomplete Detachment Following PulseRider Deployment
title_fullStr Atypical Incomplete Detachment Following PulseRider Deployment
title_full_unstemmed Atypical Incomplete Detachment Following PulseRider Deployment
title_short Atypical Incomplete Detachment Following PulseRider Deployment
title_sort atypical incomplete detachment following pulserider deployment
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370634/
https://www.ncbi.nlm.nih.gov/pubmed/37502632
http://dx.doi.org/10.5797/jnet.cr.2021-0095
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