Stent Migration during Coil Embolization with an Open Cell Stent: A Report of Three Cases.

Neuroform atlas Stent trouble

Journal

Journal of neuroendovascular therapy
ISSN: 2186-2494
Titre abrégé: J Neuroendovasc Ther
Pays: Japan
ID NLM: 101488164

Informations de publication

Date de publication:
2020
Historique:
received: 11 10 2019
accepted: 20 02 2020
medline: 1 1 2020
pubmed: 1 1 2020
entrez: 28 7 2023
Statut: ppublish

Résumé

Among 36 cerebral aneurysm cases of stent-assisted coil embolization with the Neuroform Atlas since April 2017, there were three cases of stent migration during the operation. The status of stent deployment, cause of trouble, results of coil embolization, and complications were assessed. There were two cases with trouble during stent deployment, a case of internal carotid artery aneurysm, and a case of middle cerebral artery (MCA) aneurysm. The proximal marker of the stent was advanced during stent deployment with the simple pull maneuver, then a part of the stent migrated to the aneurysm sac in both cases. Stent migration to the aneurysm sac during microcatheter navigation by the trans-cell technique occurred in another MCA aneurysm case. No postoperative complications were observed, and a volume embolization ratio (VER) of 24.1%-33% was achieved in these three cases. The Neuroform Atlas is a safe and convenient stent system. However, stent advancement during deployment and migration during trans-cell microcatheter navigation can occur.

Identifiants

pubmed: 37502694
doi: 10.5797/jnet.cr.2019-0089
pii: jnet.cr.2019-0089
pmc: PMC10370679
doi:

Types de publication

Case Reports

Langues

eng

Pagination

188-194

Informations de copyright

©2020 The Japanese Society for Neuroendovascular Therapy.

Déclaration de conflit d'intérêts

We declare no conflict of interest.

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Auteurs

Ryosuke Tomio (R)

Department of Neurosurgery and Brain Bank, Mihara Memorial Hospital, Isesaki, Gunma, Japan.

Tsuyoshi Uesugi (T)

Department of Stroke and Brain Bank, Mihara Memorial Hospital, Isesaki, Gunma, Japan.

Kazunori Akaji (K)

Department of Neurosurgery and Brain Bank, Mihara Memorial Hospital, Isesaki, Gunma, Japan.

Classifications MeSH