Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report

Objective: We report a case of hemorrhagic complication after mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with twig-like middle cerebral artery (MCA).Case Presentation: A 75-year-old man was admitted to our hospital with ICA occlusion. Recanalization was achieved by a di...

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Veröffentlicht in:Journal of Neuroendovascular Therapy 2022, Vol.16(3), pp.175-180
Hauptverfasser: Sakai, Yu, Yoshikawa, Gakushi, Sato, Katsuya
Format: Artikel
Sprache:eng
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Zusammenfassung:Objective: We report a case of hemorrhagic complication after mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with twig-like middle cerebral artery (MCA).Case Presentation: A 75-year-old man was admitted to our hospital with ICA occlusion. Recanalization was achieved by a direct aspiration first pass technique (ADAPT). The peripheral MCA was twig-like, but operators thought that a thrombus remained in the MCA first segment. The procedure was continued and suspended with perforation of the microguidewire.Conclusion: When performing MT for large vessel occlusion (LVO) with twig-like MCA, it is difficult to proceed a device to the periphery and there is a risk of hemorrhage.
ISSN:1882-4072
2186-2494
DOI:10.5797/jnet.cr.2020-0202