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

Satoshi Miyamoto; Noriyuki Kato; Tomosato Yamazaki; Akinari Yamano; Yoshimitsu Akutsu; Susumu Yasuda; Yuji Matsumaru; Eiichi Ishikawa

doi:10.1055/s-0042-1757629

Asian Journal of Neurosurgery, Inhaltsverzeichnis

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

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

²Division of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

³Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

,

Noriyuki Kato

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

,

Tomosato Yamazaki

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

,

Akinari Yamano

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

,

Yoshimitsu Akutsu

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

,

Susumu Yasuda

¹Department of Neurosurgery, Mito Medical Center, Mito, Ibaraki, Japan

,

Yuji Matsumaru

²Division of Stroke Prevention and Treatment, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

³Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

,

Eiichi Ishikawa

³Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan

› Institutsangaben

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

Volltext

Referenzen

References
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