Endovascular coil retrieval using a TrevoProVue stentriever

BMJ Case Rep. 2014 Apr 23:2014:bcr2014011181. doi: 10.1136/bcr-2014-011181.

Abstract

A 65-year-old man with a left cavernous internal carotid artery cerebral aneurysm experienced a premature detachment of the first framing coil (10 mm × 40 cm Penumbra Complex Standard) during a coil embolization procedure. The coil herniated into the anterior cerebral artery and pericallosal artery. Multiple attempts to retrieve the coil using both a 2 and 4 mm Microsnare (Amplatz GooseNeck) failed. A Trevo ProVue retrievable stent was then used to retrieve the coil without any adverse events. This case report highlights a novel use of a stent for the removal of a foreign body from the cerebrovascular system.

Keywords: Aneurysm; Coil; Complication; Stent.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carotid Artery, Internal*
  • Device Removal / methods
  • Embolization, Therapeutic / adverse effects
  • Embolization, Therapeutic / instrumentation*
  • Equipment Failure
  • Foreign Bodies / etiology
  • Foreign Bodies / therapy*
  • Humans
  • Intracranial Aneurysm / therapy*
  • Male
  • Stents*