Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy

Rapid advances in emergent mechanical thrombectomy have resulted in a higher occurrence of arterial perforations during neurointerventions. Here, we report a case of internal carotid artery (ICA) perforation during mechanical thrombectomy in a 78-year-old man with a left middle cerebral artery occlu...

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Autores principales: Miyamoto, Satoshi, Kato, Noriyuki, Yamazaki, Tomosato, Yamano, Akinari, Akutsu, Yoshimitsu, Yasuda, Susumu, Matsumaru, Yuji, Ishikawa, Eiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771614/
https://www.ncbi.nlm.nih.gov/pubmed/36570747
http://dx.doi.org/10.1055/s-0042-1757629
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author Miyamoto, Satoshi
Kato, Noriyuki
Yamazaki, Tomosato
Yamano, Akinari
Akutsu, Yoshimitsu
Yasuda, Susumu
Matsumaru, Yuji
Ishikawa, Eiichi
author_facet Miyamoto, Satoshi
Kato, Noriyuki
Yamazaki, Tomosato
Yamano, Akinari
Akutsu, Yoshimitsu
Yasuda, Susumu
Matsumaru, Yuji
Ishikawa, Eiichi
author_sort Miyamoto, Satoshi
collection PubMed
description Rapid advances in emergent mechanical thrombectomy have resulted in a higher occurrence of arterial perforations during neurointerventions. Here, we report a case of internal carotid artery (ICA) perforation during mechanical thrombectomy in a 78-year-old man with a left middle cerebral artery occlusion. The ICA was perforated by a microcatheter during thrombectomy, forming a direct carotid-cavernous fistula. A two-stage drainer occlusion was conducted because of cortical venous reflex aggravation and ocular symptoms. Here, we report the perforation details and treatment, adding to evidence that ICA perforation with the microcatheter body is a concern during mechanical thrombectomy.
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spelling pubmed-97716142022-12-22 Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy Miyamoto, Satoshi Kato, Noriyuki Yamazaki, Tomosato Yamano, Akinari Akutsu, Yoshimitsu Yasuda, Susumu Matsumaru, Yuji Ishikawa, Eiichi Asian J Neurosurg Rapid advances in emergent mechanical thrombectomy have resulted in a higher occurrence of arterial perforations during neurointerventions. Here, we report a case of internal carotid artery (ICA) perforation during mechanical thrombectomy in a 78-year-old man with a left middle cerebral artery occlusion. The ICA was perforated by a microcatheter during thrombectomy, forming a direct carotid-cavernous fistula. A two-stage drainer occlusion was conducted because of cortical venous reflex aggravation and ocular symptoms. Here, we report the perforation details and treatment, adding to evidence that ICA perforation with the microcatheter body is a concern during mechanical thrombectomy. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-10-19 /pmc/articles/PMC9771614/ /pubmed/36570747 http://dx.doi.org/10.1055/s-0042-1757629 Text en Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Miyamoto, Satoshi
Kato, Noriyuki
Yamazaki, Tomosato
Yamano, Akinari
Akutsu, Yoshimitsu
Yasuda, Susumu
Matsumaru, Yuji
Ishikawa, Eiichi
Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title_full Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title_fullStr Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title_full_unstemmed Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title_short Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy
title_sort direct carotid-cavernous fistula caused by internal carotid artery perforation by a microcatheter body during mechanical thrombectomy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771614/
https://www.ncbi.nlm.nih.gov/pubmed/36570747
http://dx.doi.org/10.1055/s-0042-1757629
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