MIGRACIÓN ESPONTÁNEA DE COILS, UNA INFRECUENTE COMPLICACIÓN DE TERAPIA ENDOVASCULAR PARA EL MANEJO DE ANEURISMA SACULAR: REPORTE DE CASO
SPONTANEOUS MIGRATION OF COILS, AN UNCOMMON COMPLICATION OF ENDOVASCULAR THERAPY FOR THE MANAGEMENT OF SACCULAR ANEURYSM: A CASE REPORT
DOI:
https://doi.org/10.51437/nj.v30i2.405Palabras clave:
Técnicas Endovasculares, Aneurismas, migración, complicacionesResumen
Resumen (español)
La migración de coils es una rara condición y es representada solo por el 0.5% de las complicaciones en terapia endovascular. Esta complicación puede ser descubierta inmediatamente o dentro de los siguientes meses de realizada la terapia endovascular. Incluso de manera accidental por neuroimagen de control en pacientes asintomáticos o por síntomas neurológicos causados por la migración del material embólico. En este reporte de caso presentamos una paciente que cursa con aneurisma roto del segmento comunicante posterior izquierdo, que posterior al procedimiento endovascular por tomografía de cráneo se verifica desplazamiento del material de embolización.
Abstract (English)
Coil migration is a rare condition and is represented by only 0.5% of complications in endovascular therapy. This complication can be discovered immediately or within the following months after endovascular therapy. Even accidentally by control neuroimaging in asymptomatic patients or by neurological symptoms caused by the migration of embolic material. In this case report we present a patient presenting with a ruptured aneurysm of the left posterior communicating segment, which after the endovascular procedure by skull tomography reveals displacement of the embolization material.
Resumo (Português)
A migração de Coils é uma condição rara e representa apenas 0,5% das complicações na terapia endovascular. Esta complicação pode ser descoberta imediatamente ou nos meses seguintes à terapia endovascular. Pode ser identificada acidentalmente por neuroimagem de controle em pacientes assintomáticos ou por sintomas neurológicos causados pela migração de material embólico. Neste relato de caso apresentamos um paciente com aneurisma roto do segmento comunicante posterior esquerdo, que após procedimento endovascular apresentou deslocamento do material de embolização evidenciado por meio de uma tomografia de crânio.
Citas
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Muninthorn W, Kobkitsuksakul C, Boongird A. Emergency surgical removal of a migrated coil during embolization of a giant internal carotid artery aneurysm: illustrative case. Journal of Neurosurgery: Case Lessons. 2022 Aug 29;4(9).
Turek G, Kochanowicz J, Lewszuk A, Lyson T, Zielinska-Turek J, Chwiesko J, et al. Early surgical removal of migrated coil/stent after failed embolization of intracranial aneurysm. J Neurosurg. 2015 Oct 1;123(4):841–7.
Ding D, Liu KC. Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms. Vol. 6, Journal of NeuroInterventional Surgery. BMJ Publishing Group; 2014. p. 428–31.
Muninthorn W, Kobkitsuksakul C, Boongird A. Emergency surgical removal of a migrated coil during embolization of a giant internal carotid artery aneurysm: illustrative case. Journal of Neurosurgery: Case Lessons. 2022 Aug 29;4(9).
Abdalkader M, Piotin M, Chen M, Ortega-Gutierrez S, Samaniego E, Weill A, et al. Coil migration during or after endovascular coiling of cerebral aneurysms. J Neurointerv Surg. 2020 May 1;12(5):505–11.
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Derechos de autor 2024 Neurociencias Journal
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