Reinsertion of a dislodged microcatheter into insufficiently embolized cerebral aneurysms: the lash method

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  • コイル塞栓術途中に脱落したマイクロカテーテルの脳動脈瘤への再挿入方法，lash methodについて
  • コイル ソクセンジュツ トチュウ ニ ダツラク シタ マイクロカテーテル ノ ノウ ドウミャクリュウ エ ノ サイソウニュウ ホウホウ,lash method ニ ツイテ

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Abstract

Objective: We present the "lash method" for reinsertion of a dislodged microcatheter into an insufficiently embolized cerebral aneurysm.<br>Case presentation: A 71-year-old male presented with a subarachnoid hemorrhage from a ruptured anterior communicating aneurysm. Until complete occlusion was achieved, the microcatheter slipped out of the aneurysm. Keeping the tip of the microcatheter nearby the neck of the aneurysm and pulling the micro-guidewire back, the microcatheter was advanced and adequately repositioned. The aneurysm was completely occluded.<br>Conclusion: This method of microcatheter reinsertion into an incompletely embolized cerebral aneurysm can be considered, especially when the coils are unevenly distributed.

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