Delayed asymptomatic coil migrations toward different arteries after aneurysmal embolization: case report

作者:Kamide Tomoya*; Misaki Kouichi; Nambu Iku; Mohri Masanao; Uchiyama Naoyuki; Nakada Mitsutoshi
来源:Acta Neurochirurgica, 2017, 159(3): 593-598.
DOI:10.1007/s00701-017-3083-6

摘要

Delayed coil migration after endovascular treatment with detachable coils, particularly several months after treatment, is extremely rare. In this report, the authors describe a 77-year-old female in whom delayed coil migration to the anterior cerebral artery and posterior communicating artery (PCoA) developed 3 months after an uncomplicated aneurysm embolization. The patient was successfully retreated with a closed-cell stent. Computational fluid dynamics (CFD) revealed high wall shear stress (WSS) and multiple vortices in the residual cavity of the initially treated aneurysm. CFD could be useful to detect and predict this complication, and a stent-assisted technique could be an important treatment option.

  • 出版日期2017-3