The management of coil stretching during coil embolization of intracranial aneurysm

초록

Introduction ; Coil embolization is safe treatment for cerebral aneurysm, however it can be occurred also unsatisfactory periprocedural complication, There were highly morbidity and motarlity expected in case of coil stretching. So we report our unusual experience of coil stretching Material and Methods Case 1) a 63-aged man was admitted our hospital because of SAH, a-com an. Case 2) a 65 aged woman due to ant. Choroidal a aneurysm Result ; after the operation, two pts did not show any neurological deterioratin, and pregressively improved symptoms Discussion ; In this case, we introduce the possibility of stretched coil during embolization of cerebral aneurysm. We must do carefully management of microcatheter and coil during procedure. In case of coil stretching, we recommended to stop procedure, and consider coil removal or reposition to ECA. It should also be followed early cerebral angiogram