title: A direct aspiration first pass technique for retrieval of a detached coil.
abstract: A 64-year-old man was referred to our hospital for treatment of a cerebral aneurysm that was incidentally found. The aneurysm was 7 mm in size and located on the left anterior communicating artery. Using a balloon assisted technique, we performed coil embolization. During the second coil insertion, the first coil was dislodged into the anterior communicating artery. We attempted coil retrieval using a snare, which was unsuccessful. We applied a direct aspiration first pass technique (ADAPT) and advanced a Penumbra 4MAX immediately proximal to the dislodged coil; the dislodged coil was then successfully retrieved. ADAPT is a simple procedure for retrieval of a detached coil, and it can be used as an alternative to the snare technique.
authors.affiliation: Department of Neurosurgery, Kochi Health Sciences Center, Kochi City, Kochi Prefecture, Japan.
authors.forename: Noritaka
authors.initials: N
authors.lastname: Masahira
authors.affiliation: Department of Neurosurgery, Kochi Health Sciences Center, Kochi City, Kochi Prefecture, Japan.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ohta
authors.affiliation: Department of Neurosurgery, Kochi Medical School, Nankoku City, Kochi Prefecture, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Fukui
authors.affiliation: Department of Neurosurgery, Kochi Medical School, Nankoku City, Kochi Prefecture, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Yanagawa
authors.affiliation: Department of Neurosurgery, Kochi Medical School, Nankoku City, Kochi Prefecture, Japan.
authors.forename: Yuichirou
authors.initials: Y
authors.lastname: Kondou
authors.affiliation: Department of Neurosurgery, Kochi Health Sciences Center, Kochi City, Kochi Prefecture, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Morimoto
authors.affiliation: Department of Neurosurgery, Kochi Medical School, Nankoku City, Kochi Prefecture, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ueba
mesh_terms: D000368:Aged; D020771:Anterior Cerebral Artery / Q000473:pathology*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005548:Foreign-Body Migration / Q000473:pathology / Q000628:therapy*; D006801:Humans; D033162:Incidental Findings; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D013396:Suction / Q000295:instrumentation* / Q000379:methods; D017131:Thrombectomy / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome
keywords: Aneurysm; Angiography; Coil; Complication; Intervention