Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter

With the recent advent of suction catheters, the use of manual aspiration thrombectomy (MAT) for patients with acute ischemic stroke with large vessel occlusion has increased. Although contrast leakage and subarachnoid hemorrhage have been reported during MAT procedures, pseudoaneurysm formation due...

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Main Authors: Jeong, Eun-Oh, Kwon, Hyon-Jo, Choi, Seung-Won, Koh, Hyeon-Song
Format: Online
Language:English
Published: Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5104859/
id pubmed-5104859
recordtype oai_dc
spelling pubmed-51048592016-11-15 Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter Jeong, Eun-Oh Kwon, Hyon-Jo Choi, Seung-Won Koh, Hyeon-Song Case Report With the recent advent of suction catheters, the use of manual aspiration thrombectomy (MAT) for patients with acute ischemic stroke with large vessel occlusion has increased. Although contrast leakage and subarachnoid hemorrhage have been reported during MAT procedures, pseudoaneurysm formation due to vessel injury by suction catheters has not been. We discuss the case of a 60-year-old woman who presented to our emergency room with dysarthria and left-sided weakness. She underwent suction thrombectomy 5 times for acute middle cerebral artery occlusion and significant contrast leakage occurred during the procedure. On follow-up angiogram on post-operative day 15, we noticed a pseudoaneurysm, which was treated with detachable coil embolization. Surgeons who perform suction thrombectomy should keep in mind the possibility of vessel injury that results in the formation of a pseudoaneurysm, especially at the branching site or tortuous segments. Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2016-09 2016-09-30 /pmc/articles/PMC5104859/ /pubmed/27847778 http://dx.doi.org/10.7461/jcen.2016.18.3.296 Text en © 2016 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Jeong, Eun-Oh
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
spellingShingle Jeong, Eun-Oh
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
author_facet Jeong, Eun-Oh
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
author_sort Jeong, Eun-Oh
title Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
title_short Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
title_full Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
title_fullStr Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
title_full_unstemmed Pseudoaneurysm Formation after Repetitive Suction Thrombectomy Using a Penumbra Suction Catheter
title_sort pseudoaneurysm formation after repetitive suction thrombectomy using a penumbra suction catheter
description With the recent advent of suction catheters, the use of manual aspiration thrombectomy (MAT) for patients with acute ischemic stroke with large vessel occlusion has increased. Although contrast leakage and subarachnoid hemorrhage have been reported during MAT procedures, pseudoaneurysm formation due to vessel injury by suction catheters has not been. We discuss the case of a 60-year-old woman who presented to our emergency room with dysarthria and left-sided weakness. She underwent suction thrombectomy 5 times for acute middle cerebral artery occlusion and significant contrast leakage occurred during the procedure. On follow-up angiogram on post-operative day 15, we noticed a pseudoaneurysm, which was treated with detachable coil embolization. Surgeons who perform suction thrombectomy should keep in mind the possibility of vessel injury that results in the formation of a pseudoaneurysm, especially at the branching site or tortuous segments.
publisher Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5104859/
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