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01-03-2017 | Case Report - Vascular

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

Authors: Tomoya Kamide, Kouichi Misaki, Iku Nambu, Masanao Mohri, Naoyuki Uchiyama, Mitsutoshi Nakada

Published in: Acta Neurochirurgica | Issue 3/2017

Abstract

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.

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Title: Delayed asymptomatic coil migrations toward different arteries after aneurysmal embolization: case report
Authors: Tomoya Kamide
Kouichi Misaki
Iku Nambu
Masanao Mohri
Naoyuki Uchiyama
Mitsutoshi Nakada
Publication date: 01-03-2017
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 3/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3083-6

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

Abstract

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Abstract

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