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

  • Sakai Yu
    Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan
  • Yoshikawa Gakushi
    Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan
  • Sato Katsuya
    Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan

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抄録

<p>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).</p><p>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.</p><p>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.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 16 (3), 175-180, 2022

    特定非営利活動法人 日本脳神経血管内治療学会

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