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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(04): 638-641
DOI: 10.1055/s-0042-1757629
Case Report

Direct Carotid-Cavernous Fistula Caused by Internal Carotid Artery Perforation by a Microcatheter Body during Mechanical Thrombectomy

Satoshi Miyamoto
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
2   Division of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
3   Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
,
Noriyuki Kato
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
,
Tomosato Yamazaki
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
,
Akinari Yamano
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
,
Yoshimitsu Akutsu
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
,
Susumu Yasuda
1   Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan
,
Yuji Matsumaru
2   Division of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
3   Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
,
Eiichi Ishikawa
3   Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
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Abstract

Rapid advances in emergent mechanical thrombectomy have resulted in a higher occurrence of arterial perforations during neurointerventions. Here, we report a case of internal carotid artery (ICA) perforation during mechanical thrombectomy in a 78-year-old man with a left middle cerebral artery occlusion. The ICA was perforated by a microcatheter during thrombectomy, forming a direct carotid-cavernous fistula. A two-stage drainer occlusion was conducted because of cortical venous reflex aggravation and ocular symptoms. Here, we report the perforation details and treatment, adding to evidence that ICA perforation with the microcatheter body is a concern during mechanical thrombectomy.

Keywords

direct carotid-cavernous fistula - mechanical thrombectomy - internal carotid artery perforation - perforation with the microcatheter

Informed Consent

The authors certify that they have obtained all appropriate patient consent.




Publikationsverlauf

Artikel online veröffentlicht:
19. Oktober 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Matsumoto H, Nishiyama H, Takemoto H, Tetsuo Y, Nakao N. Carotid-cavernous fistula caused by vessel injury while withdrawing a stent retriever during mechanical thrombectomy for acute ischemic stroke: a case report. J Neuroendovasc Therapy 2018; 12 (05) 235-240
    CrossrefSuche in Google Scholar
  • 2 Kurashiki Y, Hanaoka M, Sato K. et al. Occurrence of direct carotid-cavernous fistula during mechanical thrombectomy for middle cerebral artery occlusion. Tokushima Red Cross Hosp Med J 2019; 24: 82-89
    Suche in Google Scholar
  • 3 Sheinberg DL, Brunet MC, Chen SH, Luther E, Starke RM. Iatrogenic direct carotid-cavernous fistula following mechanical thrombectomy: a case report and review of the literature. Cureus 2020; 12 (04) e7524
    PubMedSuche in Google Scholar
  • 4 Ryu CW, Lee CY, Koh JS, Choi SK, Kim EJ. Vascular perforation during coil embolization of an intracranial aneurysm: the incidence, mechanism, and clinical outcome. Neurointervention 2011; 6 (01) 17-22
    CrossrefPubMedSuche in Google Scholar
  • 5 Bourcier R, Goyal M, Liebeskind DS. et al; HERMES Trialists Collaboration. Association of time from stroke onset to groin puncture with quality of reperfusion after mechanical thrombectomy: a meta-analysis of individual patient data from 7 randomized clinical trials. JAMA Neurol 2019; 76 (04) 405-411
    CrossrefPubMedSuche in Google Scholar
  • 6 Henderson AD, Miller NR. Carotid-cavernous fistula: current concepts in aetiology, investigation, and management. Eye (Lond) 2018; 32 (02) 164-172
    CrossrefPubMedSuche in Google Scholar
  • 7 Lewis AI, Tomsick TA, Tew Jr JM. Management of 100 consecutive direct carotid-cavernous fistulas: results of treatment with detachable balloons. Neurosurgery 1995; 36 (02) 239-244 , discussion 244–245
    CrossrefPubMedSuche in Google Scholar
  • 8 Ono K, Oishi H, Tanoue S. et al. Direct carotid-cavernous fistulas occurring during neurointerventional procedures. Interv Neuroradiol 2016; 22 (01) 91-96
    CrossrefPubMedSuche in Google Scholar
  • 9 Kwon HJ, Jin SC. Spontaneous healing of iatrogenic direct carotid cavernous fistula. Interv Neuroradiol 2012; 18 (02) 187-190
    CrossrefPubMedSuche in Google Scholar
  • 10 Tsuji Y, Miki T, Kakita H, Sato K, Yoshida T, Shimizu F. Mechanical thrombectomy for large vessel occlusion via the transbrachial approach: case series. Neurointervention 2020; 15 (02) 89-95
    CrossrefPubMedSuche in Google Scholar
  • 11 Akpinar SH, Gelener P, Kaymakamzade B. Complications of endovascular treatment in acute stroke patients: results from a tertiary referral center. Int J Stroke 2014; 9: 88-88
    PubMedSuche in Google Scholar
  • 12 Alan N, Nwachuku E, Jovin TJ, Jankowitz BT, Jadhav AP, Ducruet AF. Management of iatrogenic direct carotid cavernous fistula occurring during endovascular treatment of stroke. World Neurosurg 2017; 100: 710.e15-710.e20
    CrossrefPubMedSuche in Google Scholar