Microsurgical Embolectomy and Removal of a Migrated Coil from the Middle Cerebral Artery
作者:
Uwe Spetzger,
Jürgen Reul,
Armin Thron,
Jan P. Warnke,
Joachim M. Gilsbach,
期刊:
Cerebrovascular Diseases
(Karger Available online 1997)
卷期:
Volume 7,
issue 4
页码: 226-231
ISSN:1015-9770
年代: 1997
DOI:10.1159/000108196
出版商: S. Karger AG
关键词: Cerebral aneurysm;Microsurgical embolectomy;Endovascular treatment;Coil embolization;Cerebral artery occlusion
数据来源: Karger
摘要:
This report details the successful microsurgical removal of a migrated coil and an embolectomy of the middle cerebral artery (MCA). During endovascular occlusion of a giant carotid artery aneurysm, a detached coil at the neck of the aneurysm migrated up into the MCA and could not be removed with a retriever. Acute occlusion of the anterior cerebral artery and MCA caused progressive neurological deterioration, and an emergency microsurgical embolectomy was performed, which led to a good postoperative neurological outcome. However, angiographical follow-up after 1 year demonstrated marked compaction of the coils and recanalization of the giant aneurysm, which requires additional treatment.
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