Journal of neuroendovascular therapy · 2020
Carotid Cavernous Fistula during Thrombectomy for Acute Ischemic Stroke: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tsuji Keiichi, Tsuji Atsushi, Yoshimura Yayoi, Ogawa Nobuhiro, Nakazawa Takuya, Nozaki Kazuhiko
Аннотация
OBJECTIVE: We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS).
CASE PRESENTATION: An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance at the medial C4 while the microguidewire was guided distally, and a CCF was found after deploying and retrieving the stent. It was thought to have been caused by perforation due to intracranial atherosclerotic stenosis of the internal carotid artery.
CONCLUSION: During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.
CASE PRESENTATION: An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance at the medial C4 while the microguidewire was guided distally, and a CCF was found after deploying and retrieving the stent. It was thought to have been caused by perforation due to intracranial atherosclerotic stenosis of the internal carotid artery.
CONCLUSION: During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.