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


Creative Commons License

Akan H., Belet U., Enel A.

INTERVENTIONAL NEURORADIOLOGY, no.1, pp.83-86, 2003 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2003
  • Doi Number: 10.1177/159101990300900115
  • Journal Name: INTERVENTIONAL NEURORADIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Page Numbers: pp.83-86
  • Keywords: brain aneurysms, embolization, complications, GUGLIELMI DETACHABLE COILS, INTRACRANIAL ANEURYSMS, MANAGEMENT
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

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 withdrawn until the tip of the catheter is placed in the neck, and then the neck is occluded with the appropriate coil.