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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sciendo
2021
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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. |
format | Online Article Text |
id | pubmed-8519364 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sciendo |
record_format | MEDLINE/PubMed |
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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