Mechanical Removal of Migrated Onyx Due to Microcatheter Rupture During AVM Embolization: A Technical Case Report
We report a case where migrated Onyx could be removed safely with a mechanical thrombectomy device after withdrawal of the damaged microcatheter. A microcatheter was retained in the superior cerebellar artery with attached Onyx fragments on its tip during embolization of a bled cerebellar AVM. Durin...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2015-12, Vol.38 (6), p.1654-1657 |
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| container_title | Cardiovascular and interventional radiology |
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| creator | Senturk, Cagin |
| description | We report a case where migrated Onyx could be removed safely with a mechanical thrombectomy device after withdrawal of the damaged microcatheter. A microcatheter was retained in the superior cerebellar artery with attached Onyx fragments on its tip during embolization of a bled cerebellar AVM. During retrieval maneuvers microcatheter shaft was ruptured and Onyx fragments were released into the vertebrobasilar system causing occlusion. Finally, Onyx fragment on tip of the microcatheter could be detached with dimethyl sulfoxide injection and the microcatheter could be withdrawn. A Merci retriever device (Concentric Medical, Mountain View, CA, USA) was successfully used to retrieve most of the dislodged Onyx material and recanalize the vertebrobasilar circulation. |
| doi_str_mv | 10.1007/s00270-015-1095-2 |
| format | Article |
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A Merci retriever device (Concentric Medical, Mountain View, CA, USA) was successfully used to retrieve most of the dislodged Onyx material and recanalize the vertebrobasilar circulation.</description><subject>Aged</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Catheters</subject><subject>Dimethyl Sulfoxide</subject><subject>Embolization, Therapeutic - instrumentation</subject><subject>Equipment Failure</subject><subject>Foreign-Body Migration - diagnostic imaging</subject><subject>Foreign-Body Migration - surgery</subject><subject>Humans</subject><subject>Imaging</subject><subject>Intracranial Arteriovenous Malformations - therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nuclear Medicine</subject><subject>Polyvinyls</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Thrombectomy</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kVFLHDEUhUNp0dX6A_pSAn3xZexNMtnM9G1ZtRZcBLGlbyGbvdGRmcmYZET99c0wtpRCny5JvnNuOIeQDwxOGID6HAG4ggKYLBjUsuBvyIKVghdQLX--JQtgqiyYlGyfHMR4DxmsuNwj-1zWWbCsFuRhg_bO9I01Lb3Gzj_m6R3dNLfBJNzRq_75iZ6OSJPPlzZ4a9IdJgz0ehzSGDA_hqa_pasfG3rWbX3bvJjU-P4LXdGb7D1br03E7D_4kN6Td860EY9e5yH5fn52s74oLq--fluvLgsroUpFZQGRldxy7sBsa-tKIytZWqxLJV0toGZuJ5RlTO22qIRQwN0ShcTSiXw-JMez7xD8w4gx6a6JFtvW9OjHqJkSUggQSmb00z_ovR9Dn383UaIq2VLxTLGZyinEGNDpITSdCc-agZ760HMfOsespz70pPn46jxuO9z9UfwuIAN8BuIwxYjhr9X_df0FwVGUhw</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Senturk, Cagin</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Mechanical Removal of Migrated Onyx Due to Microcatheter Rupture During AVM Embolization: A Technical Case Report</title><author>Senturk, Cagin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-8c0ee142c22f0ab9cf4a5854ce9475f93091fd37c117dbe733702f6e35e4f3e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Catheters</topic><topic>Dimethyl Sulfoxide</topic><topic>Embolization, Therapeutic - 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| subjects | Aged Cardiology Case Report Catheters Dimethyl Sulfoxide Embolization, Therapeutic - instrumentation Equipment Failure Foreign-Body Migration - diagnostic imaging Foreign-Body Migration - surgery Humans Imaging Intracranial Arteriovenous Malformations - therapy Male Medicine Medicine & Public Health Nuclear Medicine Polyvinyls Radiography Radiology Thrombectomy Ultrasound |
| title | Mechanical Removal of Migrated Onyx Due to Microcatheter Rupture During AVM Embolization: A Technical Case Report |
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