Abstract
Purpose
To present the early clinical experience of a new mechanically controlled-release embolization device—the interlocking detachable coil (IDC)—in complex embolization outside the head.
Methods
IDCs were used only when conventional embolization techniques were considered too risky or unsafe. The soils consist of unfibered coiled platinum (0.012 inch), mechanically connected to a pusher wire and deployed through a Tracker 18 catheter. IDCs come in a range of diameters (2–8 mm) and lengths (1–30 cm).
Results
A total of 87 IDCs were used for 27 procedures in 25 patients (mean 14.5 years) to occlude 31 arteries or vascular lesions. Control of the coil and its release were satisfactory and all coils were fully retrievable up to the point of deployment. Two IDC coils embolized inadvertently but were retrieved; there were no other complications. The IDC coils could not be satisfactorily placed in one high-flow arteriovenous (AV) fistula, and in another case there was a small residual fistula. Occlusion was produced in 29 of 31 lesions. Ancillary techniques were needed in 5 patients: temporary balloon occlusion in 2 and 0.038-inch coils in 3.
Conclusion
The IDC coil is an effective device that allows controlled embolization to be performed, especially in aneurysms and in high-flow AV fistulas in children.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Gianturco C, Anderson JH, Wallace S (1975) Mechanical device for arterial occlusion. AJR 124:428–435
Wallace S, Gianturco C, Anderson JH, Goldstein HM, Davis LJ, Bree RL (1975) Therapeutic vascular occlusion utilizing steel coil technique: Clinical applications. AJR 127:381–387
Teitelbaum GP, Reed RA, Larsen D, Lee RK, Pentecost MJ, Finck EJ, Katz MD (1993) Microcatheter embolization of nonneurological traumatic vascular lesions. J Vasc Intervent Radiol 4:149–154
Kaufman SL, Martin LG, Zuckerman AM, Koch SR, Silverstein MI, Barton JW (1992) Peripheral transcatheter embolization with platinum microcoils. Radiology 184:369–372
Guglielmi G, Vinnuela F, Sepeika I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 1. Electrochemical basis, technique and experimental results. J Neurosurg 75:1–7
Guglielmi GK, Vinnuela F, Dion J, Duckwiler G (1991) Electrothrombosis of saccular aneurysm via endovascular approach. Part 2. Preliminary clinical experience. J Neurosurg 75:8–14
Guglielmi G (1992) Endovascular treatment of intracranial aneurysms. Neuro Imag Clin N Am 2:269–278
Castanada-Zuniga WR, Murthy Tadavarthy SM (1992) Vascular embolotherapy. In: Interventional Radiology, Vol. 1. Williams & Wilkins, Baltimore, pp 9–73
Reidy JF, Anjos RT, Qureshi SA, Baker EJ, Tynan MJU (1991) Transcatheter embolization in the treatment of coronary artery fistulae. J Am Coll Card 18:187–192
De Wolf D, Terriere M, De Wilde P, Reidy JF (1994) Embolization of a coronary fistula with a controlled delivery platinum coil in a 2-year-old. Paediatr Cardiol 15:308–310
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Reidy, J.F., Qureshi, S.A. Interlocking detachable platinum coils, a controlled embolization device: Early clinical experience. Cardiovasc Intervent Radiol 19, 85–90 (1996). https://doi.org/10.1007/BF02563899
Issue Date:
DOI: https://doi.org/10.1007/BF02563899