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Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers

Coil prolapse or migration is a rare but potentially serious complication that may occur during aneurysm embolization, with no standard management currently described. Here we describe our experience with the Embolus Retriever with Interlinked Cages (ERIC) device(®) (Microvention, Aliso Viejo, CA, U...

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Autores principales: Schüller-Arteaga, Miguel, Galván-Fernández, Jorge, Jiménez-Arribas, Paloma, Nogales-Martin, Leonor, Rodríguez-Arias, Carlos, Martínez-Galdámez, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Interventional Neuroradiology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261110/
https://www.ncbi.nlm.nih.gov/pubmed/34130371
http://dx.doi.org/10.5469/neuroint.2021.00066
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author Schüller-Arteaga, Miguel
Galván-Fernández, Jorge
Jiménez-Arribas, Paloma
Nogales-Martin, Leonor
Rodríguez-Arias, Carlos
Martínez-Galdámez, Mario
author_facet Schüller-Arteaga, Miguel
Galván-Fernández, Jorge
Jiménez-Arribas, Paloma
Nogales-Martin, Leonor
Rodríguez-Arias, Carlos
Martínez-Galdámez, Mario
author_sort Schüller-Arteaga, Miguel
collection PubMed
description Coil prolapse or migration is a rare but potentially serious complication that may occur during aneurysm embolization, with no standard management currently described. Here we describe our experience with the Embolus Retriever with Interlinked Cages (ERIC) device(®) (Microvention, Aliso Viejo, CA, USA) for the retrieval of prolapsed or migrated coils in a case series and Flow-Model analysis. First, a retrospective review was performed using our institution database for patients in which coil prolapse or migration occurred during aneurysm embolization, and data was collected and analyzed. Second, an in vitro Flow-Model analysis was performed comparing the ERIC device(®) with other stent retrievers for coil retrieval. In 2 cases, the ERIC device(®) successfully retrieved the displaced coil from intracranial circulation in 1 pass, after failure with other devices. In the Flow-Model, again the ERIC device(®) achieved success for retrieving a detached coil, whereas 2 other different stent retrievers failed to capture the coil after 2 attempts. The ERIC device(®) appears to be a safe and effective tool for retrieving a prolapsed or migrated coil from the intracranial circulation.
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spelling pubmed-82611102021-07-16 Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers Schüller-Arteaga, Miguel Galván-Fernández, Jorge Jiménez-Arribas, Paloma Nogales-Martin, Leonor Rodríguez-Arias, Carlos Martínez-Galdámez, Mario Neurointervention Technical Note Coil prolapse or migration is a rare but potentially serious complication that may occur during aneurysm embolization, with no standard management currently described. Here we describe our experience with the Embolus Retriever with Interlinked Cages (ERIC) device(®) (Microvention, Aliso Viejo, CA, USA) for the retrieval of prolapsed or migrated coils in a case series and Flow-Model analysis. First, a retrospective review was performed using our institution database for patients in which coil prolapse or migration occurred during aneurysm embolization, and data was collected and analyzed. Second, an in vitro Flow-Model analysis was performed comparing the ERIC device(®) with other stent retrievers for coil retrieval. In 2 cases, the ERIC device(®) successfully retrieved the displaced coil from intracranial circulation in 1 pass, after failure with other devices. In the Flow-Model, again the ERIC device(®) achieved success for retrieving a detached coil, whereas 2 other different stent retrievers failed to capture the coil after 2 attempts. The ERIC device(®) appears to be a safe and effective tool for retrieving a prolapsed or migrated coil from the intracranial circulation. Korean Society of Interventional Neuroradiology 2021-07 2021-06-16 /pmc/articles/PMC8261110/ /pubmed/34130371 http://dx.doi.org/10.5469/neuroint.2021.00066 Text en Copyright © 2021 Korean Society of Interventional Neuroradiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Note
Schüller-Arteaga, Miguel
Galván-Fernández, Jorge
Jiménez-Arribas, Paloma
Nogales-Martin, Leonor
Rodríguez-Arias, Carlos
Martínez-Galdámez, Mario
Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title_full Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title_fullStr Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title_full_unstemmed Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title_short Rescue Maneuver of Migrated Coil Using the ERIC Device after Previous Attempts with Conventional Stentrievers
title_sort rescue maneuver of migrated coil using the eric device after previous attempts with conventional stentrievers
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261110/
https://www.ncbi.nlm.nih.gov/pubmed/34130371
http://dx.doi.org/10.5469/neuroint.2021.00066
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