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Accidental guide catheter fracture in mechanical thrombectomy
- Source :
- Interv Neuroradiol
- Publication Year :
- 2018
- Publisher :
- SAGE Publications, 2018.
-
Abstract
- Endovascular thrombectomy is now the standard of care for large vessel occlusion stroke. The aim is to achieve rapid and complete recanalisation while avoiding complications. Apart from the conventional complications of neurointerventional procedures, mechanical thrombectomy has its unique set of complications, inherent to the disease pathophysiology. We describe an unusual complication of catheter fracture and subsequent distal embolisation into the cerebral vasculature, which was noticed 24 hours after the procedure. Due to a lack of clinical consequences, we decided to manage it conservatively. The patient died within the following few days from respiratory complications unrelated to the stroke or the endovascular thrombectomy procedure. Consequently, we were able to retrieve the fractured segment and carry out histopathological analysis, which helped us to identify exactly its origin from the guide catheter. We believe that systematic reporting and database compilation of such device-related complications will aid in the design and development of neurointerventional devices in the future.
- Subjects :
- Male
medicine.medical_specialty
Respiratory complications
030218 nuclear medicine & medical imaging
03 medical and health sciences
Fatal Outcome
0302 clinical medicine
medicine
Humans
Stroke
Thrombectomy
Ischemic Stroke
Aged, 80 and over
Guide catheter
business.industry
Infarction, Middle Cerebral Artery
medicine.disease
Magnetic Resonance Imaging
Surgery
Mechanical thrombectomy
Catheter
Treatment Outcome
Accidental
Equipment Failure
Autopsy
Complication
business
030217 neurology & neurosurgery
Large vessel occlusion
Subjects
Details
- ISSN :
- 23852011 and 15910199
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- Interventional Neuroradiology
- Accession number :
- edsair.doi.dedup.....7fd8b05efb11a17b7a8e2891edb4849e