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2015 ; 55
(7
): 605-9
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A Novel Method for Super-selective Coil Embolization Using an Extremely Soft Bare
Coil through a Liquid Embolic Delivery Microcatheter
#MMPMID24670315
Horie N
; Hayashi K
; Morikawa M
; Izumo T
; Nagata I
Neurol Med Chir (Tokyo)
2015[]; 55
(7
): 605-9
PMID24670315
show ga
Endovascular coil embolization for intracranial aneurysms, arteriovenous
malformations (AVMs), dural arteriovenous fistulas (AVFs), and hypervascular
tumors are recognized as an effective adjunctive or curative treatment. In this
setting, it is sometimes difficult to navigate a coil delivery microcatheter to
the target point of a tiny, tortuous vessel. We herein present a case series of a
novel method that enabled super-selective coil embolization using an extremely
soft bare, electrodetachable coil (ED extrasoft(®) coil) through a liquid embolic
delivery microcatheter (Marathon(®)). The Marathon(®) catheter was successfully
placed at the target point of the tiny, tortuous vessel, and coil embolization
was achieved in all 16 patients with 9 AVMs, 2 distal aneurysms, 2 AVFs, and 3
meningiomas. The primary ED extrasoft(®) coil and delivery wire have a very small
radius, and the coil is rapidly detachable with an alarm notice from the
generator even under Marathon(®) with one marker. We believe that this technique
can provide safe and efficient embolization for selected patients.