The Experts below are selected from a list of 1863 Experts worldwide ranked by ideXlab platform
Hiroyasu Kamiyama - One of the best experts on this subject based on the ideXlab platform.
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A surgical case of delayed Coil Migration after balloon-assisted embolization of an intracranial broad-neck aneurysm: case report.
Neurosurgery, 2010Co-Authors: Hiroaki Motegi, Masanori Isobe, Toyohiko Isu, Hiroyasu KamiyamaAbstract:BACKGROUND AND IMPORTANCE: Balloon-assisted Coil placement is an important technique for Coil embolization of broad-neck aneurysms. With this technique, we can prevent Coil Migration into a parent artery during a procedure. Complications of intraprocedural Coil Migration have been reported in the literature. However, delayed Coil Migration is extremely rare. We present a case of delayed Coil Migration after balloon-assisted Coil embolization and describe our management of this complication. CLINICAL PRESENTATION: A 59-year-old man presented with hypertension and a tension headache. Clinical evaluation incidentally discovered an unruptured broad-neck aneurysm at the left internal carotid bifurcation. Endovascular embolization of the aneurysm was performed with a balloon-assisted technique. The patient had a transient ischemic attack, and a skull radiograph showed Coil Migration 3 months after the procedure. We performed an operation to remove the Coils and to clip the aneurysm with superficial temporal artery and middle cerebral artery bypass. The patient was discharged without neurological deficit. CONCLUSION: This is a rare case in which delayed Coil Migration into the parent artery occurred after balloon-assisted Coil embolization, highlighting the importance of surgical management of delayed Coil Migration.
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A surgical case of delayed Coil Migration after balloon-assisted embolization of an intracranial broad-neck aneurysm: case report.
Neurosurgery, 2010Co-Authors: Hiroaki Motegi, Masanori Isobe, Toyohiko Isu, Hiroyasu KamiyamaAbstract:Balloon-assisted Coil placement is an important technique for Coil embolization of broad-neck aneurysms. With this technique, we can prevent Coil Migration into a parent artery during a procedure. Complications of intraprocedural Coil Migration have been reported in the literature. However, delayed Coil Migration is extremely rare. We present a case of delayed Coil Migration after balloon-assisted Coil embolization and describe our management of this complication. A 59-year-old man presented with hypertension and a tension headache. Clinical evaluation incidentally discovered an unruptured broad-neck aneurysm at the left internal carotid bifurcation. Endovascular embolization of the aneurysm was performed with a balloon-assisted technique. The patient had a transient ischemic attack, and a skull radiograph showed Coil Migration 3 months after the procedure. We performed an operation to remove the Coils and to clip the aneurysm with superficial temporal artery and middle cerebral artery bypass. The patient was discharged without neurological deficit. This is a rare case in which delayed Coil Migration into the parent artery occurred after balloon-assisted Coil embolization, highlighting the importance of surgical management of delayed Coil Migration.
Hiroaki Motegi - One of the best experts on this subject based on the ideXlab platform.
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A surgical case of delayed Coil Migration after balloon-assisted embolization of an intracranial broad-neck aneurysm: case report.
Neurosurgery, 2010Co-Authors: Hiroaki Motegi, Masanori Isobe, Toyohiko Isu, Hiroyasu KamiyamaAbstract:BACKGROUND AND IMPORTANCE: Balloon-assisted Coil placement is an important technique for Coil embolization of broad-neck aneurysms. With this technique, we can prevent Coil Migration into a parent artery during a procedure. Complications of intraprocedural Coil Migration have been reported in the literature. However, delayed Coil Migration is extremely rare. We present a case of delayed Coil Migration after balloon-assisted Coil embolization and describe our management of this complication. CLINICAL PRESENTATION: A 59-year-old man presented with hypertension and a tension headache. Clinical evaluation incidentally discovered an unruptured broad-neck aneurysm at the left internal carotid bifurcation. Endovascular embolization of the aneurysm was performed with a balloon-assisted technique. The patient had a transient ischemic attack, and a skull radiograph showed Coil Migration 3 months after the procedure. We performed an operation to remove the Coils and to clip the aneurysm with superficial temporal artery and middle cerebral artery bypass. The patient was discharged without neurological deficit. CONCLUSION: This is a rare case in which delayed Coil Migration into the parent artery occurred after balloon-assisted Coil embolization, highlighting the importance of surgical management of delayed Coil Migration.
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A surgical case of delayed Coil Migration after balloon-assisted embolization of an intracranial broad-neck aneurysm: case report.
Neurosurgery, 2010Co-Authors: Hiroaki Motegi, Masanori Isobe, Toyohiko Isu, Hiroyasu KamiyamaAbstract:Balloon-assisted Coil placement is an important technique for Coil embolization of broad-neck aneurysms. With this technique, we can prevent Coil Migration into a parent artery during a procedure. Complications of intraprocedural Coil Migration have been reported in the literature. However, delayed Coil Migration is extremely rare. We present a case of delayed Coil Migration after balloon-assisted Coil embolization and describe our management of this complication. A 59-year-old man presented with hypertension and a tension headache. Clinical evaluation incidentally discovered an unruptured broad-neck aneurysm at the left internal carotid bifurcation. Endovascular embolization of the aneurysm was performed with a balloon-assisted technique. The patient had a transient ischemic attack, and a skull radiograph showed Coil Migration 3 months after the procedure. We performed an operation to remove the Coils and to clip the aneurysm with superficial temporal artery and middle cerebral artery bypass. The patient was discharged without neurological deficit. This is a rare case in which delayed Coil Migration into the parent artery occurred after balloon-assisted Coil embolization, highlighting the importance of surgical management of delayed Coil Migration.
Xiaodong Xie - One of the best experts on this subject based on the ideXlab platform.
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Delayed Coil Migration After Treatment of Traumatic Pseudoaneurysm.
World neurosurgery, 2017Co-Authors: Ting Wang, Changwei Zhang, Xiaodong XieAbstract:A teenager with epistaxis after head trauma was diagnosed with pseudoaneurysm of the internal carotid artery. Three years after the first aneurysm embolization, delayed Coil Migration was detected. Then the migrated Coil was removed through nasal endoscopy.
John I. Miller - One of the best experts on this subject based on the ideXlab platform.
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Salvage of distal non-target Coil embolization with stent placement and intravenous eptifibatide in a ruptured, unsecured, atypical aneurysm
Journal of neurointerventional surgery, 2013Co-Authors: Nazli Janjua, Sebina Bulic, Kessarin Panichpisal, Benedict Tan, John I. MillerAbstract:Introduction Small aneurysms may be challenging to embolize. In cases of subarachnoid hemorrhage (SAH) where treatment is delayed, physicians may have to balance the risks of certain required therapies (antiplatelet agents) with the risk of rerupture. We describe a case of a technically challenging anterior cerebral artery aneurysm requiring eptifibatide infusion prior to definitive aneurysm treatment. Case report A 57-year-old woman with SAH, underwent Coil embolization of a small fenestrated A1–A2 junction aneurysm. The procedure was complicated by downstream Coil Migration which was then treated with Enterprise stent placement in the pericallosal artery. This required subsequent infusion of a glycoprotein IIb/IIIa inhibitor until the aneurysm could be repaired surgically. Conclusions Revascularization with a stent in a distal cerebral vessel may salvage inadvertent Coil Migration. Although it is undesirable to administer antiplatelet agents to patients with SAH, in these circumstances short acting agents may be used.
Vishal Kothari - One of the best experts on this subject based on the ideXlab platform.
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Laparoscopic endoscopic combined surgery for removal of migrated Coil after embolization of ruptured splenic artery aneurysm.
Journal of surgical case reports, 2018Co-Authors: Akshay Pratap, Bhavani Pokala, Luciano M. Vargas, Dmitry Oleynikov, Vishal KothariAbstract:Splenic artery aneurysm is the most common visceral arterial aneurysm. Rupture of aneurysm is a rare event but associated with a high mortality. Endovascular Coil embolization of bleeding splenic artery aneurysm has emerged as a promising minimal invasive treatment and considered safer than open surgery in selected patients. Nevertheless, several complications related to Coils have been reported, the rarest being Coil Migration and erosion. We report a case of splenic artery Coil Migration into the stomach and its successful removal by laparoscopic endoscopy combined surgery.