Coil-induced perforation of recently ruptured cerebral aneurysm during embolization - Causes and avoidance

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Akan H., Belet U., Enel A.

INTERVENTIONAL NEURORADIOLOGY, sa.1, ss.83-86, 2003 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1177/159101990300900115
  • Dergi Adı: INTERVENTIONAL NEURORADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.83-86
  • Anahtar Kelimeler: brain aneurysms, embolization, complications, GUGLIELMI DETACHABLE COILS, INTRACRANIAL ANEURYSMS, MANAGEMENT
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Most coil-induced aneurysmal ruptures during endovascular treatment occur in small, recently ruptured aneurysms, and after placement of at least one coil. In cases where the distal part of the microcatheter cannot move back due to its straightness and tightness, the last coil deployed may advance towards the aneurysmal wall through intercircles of deposited coils. To solve this problem, after complete occlusion of the sac is obtained, the microcatheter is slightly. withdrawn until the tip of the catheter is placed in the neck, and then the neck is occluded with the appropriate coil.