title: Rescue Therapy of Inadvertent Coil Migration for Endovascular Treatment of Type II Endoleak.
abstract: Coil migration during endovascular procedures is not an unusual complication, but there is no standard management strategy for bailout. Here, we describe a technique for removal of a migrated coil using a snare. During embolization of type II endoleak from the inferior mesenteric artery in a post-endovascular aneurysm repair patient, the coil migrated to the sigmoidal artery causing an occlusion. We used a microsnare loop and successfully retrieved the migrated coil. This is the first case in Korea that uses a loop snare for the removal of a migrated coil during visceral endovascular treatment to our knowledge. This technique of using a microsnare for removal of displaced coils can be a good resort in selected cases.
authors.affiliation: Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Kanghaeng
authors.initials: K
authors.lastname: Lee
authors.affiliation: Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Hyung Sub
authors.initials: HS
authors.lastname: Park
authors.affiliation: Division of Vascular and Transplantation Surgery, Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
authors.forename: Taeseung
authors.initials: T
authors.lastname: Lee
keywords: Coil embolization; Endovascular aneurysm repair; Type 2 endoleak