Use of a stent-retriever for treatment of iatrogenic vasospasm secondary to mechanical thrombectomy
The treatment strategy for iatrogenic intracranial vasospasm has not been established. We reported a rare case of stent-retriever use for the treatment of iatrogenic vasospasm after mechanical thrombectomy. The patient presented acute ischemic stroke due to the occlusion of the left middle cerebral...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2024-01, Vol.236, p.108107, Article 108107 |
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| container_title | Clinical neurology and neurosurgery |
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| creator | Hori, Satoshi Furudate, Ryutaro Kumagai, Izumi Aoyagi, Chikashi Hirota, Nobuo Yamamoto, Tetsuya |
| description | The treatment strategy for iatrogenic intracranial vasospasm has not been established. We reported a rare case of stent-retriever use for the treatment of iatrogenic vasospasm after mechanical thrombectomy. The patient presented acute ischemic stroke due to the occlusion of the left middle cerebral artery (MCA). The patient underwent a successfully mechanical thrombectomy, however, severe stenosis was visualized in MCA, which was considered to be an iatrogenic mechanical vasospasm. This vasospasm was successfully treated with the Solitaire stent device, and the patient recovered from ischemic symptoms. A stent-retriever is a safe and effective treatment for iatrogenic vasospasm after mechanical thrombectomy. |
| doi_str_mv | 10.1016/j.clineuro.2023.108107 |
| format | Article |
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We reported a rare case of stent-retriever use for the treatment of iatrogenic vasospasm after mechanical thrombectomy. The patient presented acute ischemic stroke due to the occlusion of the left middle cerebral artery (MCA). The patient underwent a successfully mechanical thrombectomy, however, severe stenosis was visualized in MCA, which was considered to be an iatrogenic mechanical vasospasm. This vasospasm was successfully treated with the Solitaire stent device, and the patient recovered from ischemic symptoms. A stent-retriever is a safe and effective treatment for iatrogenic vasospasm after mechanical thrombectomy.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2023.108107</identifier><identifier>PMID: 38176217</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acute ischemic stroke ; Angioplasty ; Atherosclerosis ; Cerebral blood flow ; Dissection ; Iatrogenesis ; Implants ; Ischemia ; Medical imaging ; Stenosis ; Stent retriever ; Stents ; Stroke ; Thrombectomy ; Vasoconstriction ; Vasospasm ; Veins & arteries</subject><ispartof>Clinical neurology and neurosurgery, 2024-01, Vol.236, p.108107, Article 108107</ispartof><rights>2024 Elsevier B.V.</rights><rights>Copyright © 2024 Elsevier B.V. All rights reserved.</rights><rights>2024. 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| ispartof | Clinical neurology and neurosurgery, 2024-01, Vol.236, p.108107, Article 108107 |
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| subjects | Acute ischemic stroke Angioplasty Atherosclerosis Cerebral blood flow Dissection Iatrogenesis Implants Ischemia Medical imaging Stenosis Stent retriever Stents Stroke Thrombectomy Vasoconstriction Vasospasm Veins & arteries |
| title | Use of a stent-retriever for treatment of iatrogenic vasospasm secondary to mechanical thrombectomy |
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