Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 296-301, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-35420
ABSTRACT
With the recent advent of suction catheters, the use of manual aspiration thrombectomy (MAT) for patients with acute ischemic stroke with large vessel occlusion has increased. Although contrast leakage and subarachnoid hemorrhage have been reported during MAT procedures, pseudoaneurysm formation due to vessel injury by suction catheters has not been. We discuss the case of a 60-year-old woman who presented to our emergency room with dysarthria and left-sided weakness. She underwent suction thrombectomy 5 times for acute middle cerebral artery occlusion and significant contrast leakage occurred during the procedure. On follow-up angiogram on post-operative day 15, we noticed a pseudoaneurysm, which was treated with detachable coil embolization. Surgeons who perform suction thrombectomy should keep in mind the possibility of vessel injury that results in the formation of a pseudoaneurysm, especially at the branching site or tortuous segments.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hemorragia Subaracnóidea
/
Sucção
/
Seguimentos
/
Trombectomia
/
Falso Aneurisma
/
Acidente Vascular Cerebral
/
Infarto da Artéria Cerebral Média
/
Disartria
/
Embolização Terapêutica
/
Serviço Hospitalar de Emergência
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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