Carotid Cavernous Fistula during Thrombectomy for Acute Ischemic Stroke: A Case Report

OBJECTIVE: We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS). CASE PRESENTATION: An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance a...

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Detalles Bibliográficos
Autores principales: Tsuji, Keiichi, Tsuji, Atsushi, Yoshimura, Yayoi, Ogawa, Nobuhiro, Nakazawa, Takuya, Nozaki, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370891/
https://www.ncbi.nlm.nih.gov/pubmed/37502789
http://dx.doi.org/10.5797/jnet.cr.2020-0089
Descripción
Sumario:OBJECTIVE: We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS). CASE PRESENTATION: An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance at the medial C4 while the microguidewire was guided distally, and a CCF was found after deploying and retrieving the stent. It was thought to have been caused by perforation due to intracranial atherosclerotic stenosis of the internal carotid artery. CONCLUSION: During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.

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