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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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
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author Sakai, Yu
Yoshikawa, Gakushi
Sato, Katsuya
author_facet Sakai, Yu
Yoshikawa, Gakushi
Sato, Katsuya
author_sort Sakai, Yu
collection PubMed
description 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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spelling pubmed-103707782023-07-27 Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report Sakai, Yu Yoshikawa, Gakushi Sato, Katsuya J Neuroendovasc Ther 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 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. The Japanese Society for Neuroendovascular Therapy 2021-08-14 2022 /pmc/articles/PMC10370778/ /pubmed/37502284 http://dx.doi.org/10.5797/jnet.cr.2020-0202 Text en ©2022 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Sakai, Yu
Yoshikawa, Gakushi
Sato, Katsuya
Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title_full Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title_fullStr Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title_full_unstemmed Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title_short Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
title_sort mechanical thrombectomy for ica top occlusion with twig-like mca: a case report
topic Case Report
url 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
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AT satokatsuya mechanicalthrombectomyforicatopocclusionwithtwiglikemcaacasereport

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