Recurrent coil migration after treatment of traumatic pseudoaneurysm: A case report

Wang Ting; Seidu A. Richard; Zhang Changwei; Wang Chaohua; Xie Xiaodong

Interdisciplinary Neurosurgery (Dec 2019)

Recurrent coil migration after treatment of traumatic pseudoaneurysm: A case report

Wang Ting,
Seidu A. Richard,
Zhang Changwei,
Wang Chaohua,
Xie Xiaodong

Affiliations

Wang Ting: Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Street, Chengdu 610041, PR China
Seidu A. Richard: Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Street, Chengdu 610041, PR China; Department of Medicine, Princefield University, P. O. Box MA 128, Ho, Volta Region, Ghana
Zhang Changwei: Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Street, Chengdu 610041, PR China
Wang Chaohua: Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Street, Chengdu 610041, PR China
Xie Xiaodong: Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guo Xue Xiang Street, Chengdu 610041, PR China; Corresponding author at: Department of Neurosurgery, Postgraduate Training Centre, West China Hospital, Sichuan University, 37 Guo Xue Xiang Road, Chengdu, Sichuan 610041, PR China.

Journal volume & issue: Vol. 18

Abstract

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Introduction: Coil migration (CM) is an extraordinary delayed complication associated with coil embolization as the definitive treatment for pseudoaneurysm (PA). Our case is a recurrent one with episodes occurring in approximately 2-year intervals. Case presentation: A teenager presented with a PA after a car accident in 2014. He was admitted and treated with stent-assisted coils at our institution. The patient experienced delayed coil migration into the nostril in 2017 which we resolved by cutting off the migrated coils under nasal-endoscopy. The remaining coils migrated into the oral cavity in 2019 and were completely pulled out under nasal-endoscopy. Conclusion: When a patient experienced CM in vitro, it is advocated that, the extruding coils be cut off while the remaining coils are left in-situ. As much as possible, coil should not be forcefully pulled out. Keywords: Recurrent, Pseudoaneurysm, Coil migration, Endovascular

Published in Interdisciplinary Neurosurgery

ISSN: 2214-7519 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: http://www.journals.elsevier.com/interdisciplinary-neurosurgery/

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