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
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Sprache:	eng
Schlagworte:	Case Report hemorrhagic complication mechanical thrombectomy twig-like middle cerebral artery
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container_title	Journal of Neuroendovascular Therapy
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creator	Sakai, Yu Yoshikawa, Gakushi Sato, Katsuya
description	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.
doi_str_mv	10.5797/jnet.cr.2020-0202
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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.</description><identifier>ISSN: 1882-4072</identifier><identifier>EISSN: 2186-2494</identifier><identifier>DOI: 10.5797/jnet.cr.2020-0202</identifier><identifier>PMID: 37502284</identifier><language>eng</language><publisher>Japan: The Japanese Society for Neuroendovascular Therapy</publisher><subject>Case Report ; hemorrhagic complication ; mechanical thrombectomy ; twig-like middle cerebral artery</subject><ispartof>Journal of Neuroendovascular Therapy, 2022, Vol.16(3), pp.175-180</ispartof><rights>2022 The Japanese Society for Neuroendovascular Therapy</rights><rights>2022 The Japanese Society for Neuroendovascular Therapy.</rights><rights>2022 The Japanese Society for Neuroendovascular Therapy 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3662-8f3b4c412821d4f3a3cee4441f51533f6ccb31b9201164cc1c35a8cb622591613</citedby><cites>FETCH-LOGICAL-c3662-8f3b4c412821d4f3a3cee4441f51533f6ccb31b9201164cc1c35a8cb622591613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370778/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370778/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1876,4009,27902,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37502284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakai, Yu</creatorcontrib><creatorcontrib>Yoshikawa, Gakushi</creatorcontrib><creatorcontrib>Sato, Katsuya</creatorcontrib><title>Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report</title><title>Journal of Neuroendovascular Therapy</title><addtitle>JNET</addtitle><description>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. 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subjects	Case Report hemorrhagic complication mechanical thrombectomy twig-like middle cerebral artery
title	Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report
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