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The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report

Recent randomized controlled trials have transformed the treatment of acute ischemic stroke. Mechanical or aspiration thrombectomy is the main treatment option for occlusions of large intracranial vessels. Despite its high technical success rate, endovascular thrombectomy can sometimes be complicate...

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Autores principales: Filep, Rares Cristian, Bloj, Andrei Florin, Marginean, Lucian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519364/
https://www.ncbi.nlm.nih.gov/pubmed/34722916
http://dx.doi.org/10.2478/jccm-2021-0009
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author Filep, Rares Cristian
Bloj, Andrei Florin
Marginean, Lucian
author_facet Filep, Rares Cristian
Bloj, Andrei Florin
Marginean, Lucian
author_sort Filep, Rares Cristian
collection PubMed
description Recent randomized controlled trials have transformed the treatment of acute ischemic stroke. Mechanical or aspiration thrombectomy is the main treatment option for occlusions of large intracranial vessels. Despite its high technical success rate, endovascular thrombectomy can sometimes be complicated by anatomical peculiarities or device failures. The most frequent complications are related to vessel dissection or vessel perforation by devices while navigating intricate anatomy. Rarer still are technical device failures, like spontaneous stent-retriever detachment, which occurred with older generation retrievers. This case reports a rare device failure, which, to the best of our knowledge, has not been reported in the literature so far, namely a microwire fracture in the middle cerebral artery. This was successfully removed with an Eric stent-retriever. The potential causes and possible management strategies are discussed.
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spelling pubmed-85193642021-10-28 The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report Filep, Rares Cristian Bloj, Andrei Florin Marginean, Lucian J Crit Care Med (Targu Mures) Case Report Recent randomized controlled trials have transformed the treatment of acute ischemic stroke. Mechanical or aspiration thrombectomy is the main treatment option for occlusions of large intracranial vessels. Despite its high technical success rate, endovascular thrombectomy can sometimes be complicated by anatomical peculiarities or device failures. The most frequent complications are related to vessel dissection or vessel perforation by devices while navigating intricate anatomy. Rarer still are technical device failures, like spontaneous stent-retriever detachment, which occurred with older generation retrievers. This case reports a rare device failure, which, to the best of our knowledge, has not been reported in the literature so far, namely a microwire fracture in the middle cerebral artery. This was successfully removed with an Eric stent-retriever. The potential causes and possible management strategies are discussed. Sciendo 2021-05-12 /pmc/articles/PMC8519364/ /pubmed/34722916 http://dx.doi.org/10.2478/jccm-2021-0009 Text en © 2021 Rares Cristian Filep, Andrei Florin Bloj, Lucian Marginean, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
spellingShingle Case Report
Filep, Rares Cristian
Bloj, Andrei Florin
Marginean, Lucian
The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title_full The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title_fullStr The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title_full_unstemmed The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title_short The Removal of a Fractured Guidewire During Mechanical Thrombectomy. a Case Report
title_sort removal of a fractured guidewire during mechanical thrombectomy. a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519364/
https://www.ncbi.nlm.nih.gov/pubmed/34722916
http://dx.doi.org/10.2478/jccm-2021-0009
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