Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report

OBJECTIVE: We report a case of hemorrhagic complication after mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with twig-like middle cerebral artery (MCA). CASE PRESENTATION: A 75-year-old man was admitted to our hospital with ICA occlusion. Recanalization was achieved by a d...

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Detalles Bibliográficos
Autores principales: Sakai, Yu, Yoshikawa, Gakushi, Sato, Katsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370778/
https://www.ncbi.nlm.nih.gov/pubmed/37502284
http://dx.doi.org/10.5797/jnet.cr.2020-0202
Descripción
Sumario:OBJECTIVE: We report a case of hemorrhagic complication after mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with twig-like middle cerebral artery (MCA). CASE PRESENTATION: A 75-year-old man was admitted to our hospital with ICA occlusion. Recanalization was achieved by a direct aspiration first pass technique (ADAPT). The peripheral MCA was twig-like, but operators thought that a thrombus remained in the MCA first segment. The procedure was continued and suspended with perforation of the microguidewire. CONCLUSION: When performing MT for large vessel occlusion (LVO) with twig-like MCA, it is difficult to proceed a device to the periphery and there is a risk of hemorrhage.

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