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 |
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Rok vydání: | 2015 |
Předmět: |
Suction (medicine)
Middle Cerebral Artery medicine.medical_specialty medicine.medical_treatment Suction Revascularization Diagnosis Differential Aneurysm Fibrinolytic Agents medicine.artery medicine Humans Thrombolytic Therapy cardiovascular diseases Stroke Thrombectomy Aged 80 and over medicine.diagnostic_test business.industry Angiography Digital Subtraction Thrombolysis medicine.disease Magnetic Resonance Imaging Cerebral Angiography Surgery Tissue Plasminogen Activator Middle cerebral artery cardiovascular system Female Radiology Tomography X-Ray Computed business Fibrinolytic agent Cerebral angiography |
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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