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Related Experiment Video

Updated: Apr 2, 2026

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
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Coil Catastrophe Averted: A Technical Note on Retrieval From the Basilar Artery.

Nicholas Es'haghi1, Yasir Khattak2, Muhammad Manzoor2

  • 1Radiology, Townsville University Hospital, Townsville, AUS.

Cureus
|April 1, 2026
PubMed
Summary

Coil migration during vertebral artery dissecting aneurysm treatment is rare. A novel technique using a stent retriever and aspiration catheter successfully retrieved migrated coils, improving patient outcomes.

Keywords:
aneurysmendovascularmigrationradiology interventionalretrieval

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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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Area of Science:

  • Neurosurgery
  • Interventional Neuroradiology
  • Vascular Neurology

Background:

  • Vertebral artery dissecting aneurysms (VADA) require prompt endovascular treatment for better outcomes.
  • Endovascular techniques include deconstructive and reconstructive methods.
  • Coil migration is a rare but serious complication during parent vessel occlusion, potentially causing thromboembolic events.

Purpose of the Study:

  • To describe a novel salvage technique for managing coil migration during endovascular treatment of ruptured VADA.
  • To present a case of successful coil retrieval from the basilar artery using a stent retriever and aspiration catheter.

Main Methods:

  • A ruptured VADA was treated with coil embolisation and parent artery occlusion.
  • A coil migrated into the basilar artery, necessitating a salvage retrieval procedure.
  • A hybrid-cell stent retriever and a large-bore aspiration catheter were used for coil retrieval.
  • The aneurysm was subsequently treated with parent vessel reconstruction using a flow diverter stent.

Main Results:

  • Successful retrieval of the migrated coil mass from the basilar artery was achieved.
  • The VADA was successfully treated with a flow diverter stent.
  • Post-operative ischaemic changes were noted in the left temporal lobe.
  • At six months, the patient had a modified Rankin Scale score of 2 and was undergoing rehabilitation.

Conclusions:

  • Coil migration during endovascular parent artery sacrifice is a rare complication.
  • A hybrid-cell stent retriever combined with a large-bore aspiration catheter offers an effective salvage strategy for coil retrieval.
  • This technique facilitated successful retrieval in a challenging VADA case.