Direct aspiration first pass technique for a middle cerebral artery occlusion with a hidden aneurysm

Autor: Katsunori Asai, Tomohiro Kawano, Toshiki Yoshimine, Hiroyuki Ima, Manabu Sakaguchi, Tomoki Kidani, Tomoaki Murakami, Hajime Nakamura, Yoshinori Kadono, Tomohiko Ozaki
Rok vydání: 2015
Předmět:
Zdroj: Interventional Neuroradiology. 21:700-702
ISSN: 2385-2011
1591-0199
DOI: 10.1177/1591019915609169
Popis: Hidden aneurysms within occluded vessels present a challenge for interventionists because vessel perforation can lead to life-threatening complications. We present a case of middle cerebral artery ischemic stroke, refractory to thrombolysis. A direct aspiration first pass technique (ADAPT) was employed for revascularization. Following thrombectomy, an aneurysm of the occluded vessel was revealed. Despite this, the patient recovered without hemorrhagic complication. ADAPT permits the minimal insertion of endovascular devices and might be a safe procedure when hidden aneurysms are suspected.
Databáze: OpenAIRE
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