Endovascular Coil Retrieval Using Dual Synchronous Solitaire Revascularization Devices.

Area of Science:

• Endovascular surgery
• Interventional neuroradiology
• Vascular surgery

Background:

• Coil migration is a known complication of endovascular aneurysm treatment.
• Retrieval of dislodged coils is necessary to prevent thromboembolic events.
• Existing retrieval techniques include single stentrievers and aspiration catheters.

Observation:

• A case report details the retrieval of an inadvertently deployed coil.
• Two synchronous Solitaire FR Revascularization Devices were utilized.
• One device was placed distally, and the other proximally to the coil.

Findings:

• The dual stentriever approach was employed for coil retrieval.
• This technique aimed to leverage increased friction from extensive coil stretching.
• It addressed the limitations observed with single device failures.

Implications:

• This case highlights a novel technique for managing migrated coils.
• The use of two stentrievers may offer an advantage in complex coil retrieval scenarios.
• This method could enhance safety and efficacy in endovascular aneurysm repair.