Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

Author:

Goland Javier1,Yasuda Ezequiel1,Monteverde Martín2,Garbugino Silvia1

Affiliation:

1. Department of Neurosurgery, Hospital de Clínicas, José de San Martín, Ciudad de Buenos Aires.

2. Department of Cardiology, Hospital de Clínicas, José de San Martín, Ciudad de Buenos Aires.

Abstract

Background: Cerebral emboli is a rare complication of endovascular procedures and foreign bodies in the cerebrovascular system can lead to stroke. When an intravascular foreign body is identified, endovascular retrieval should be attempted due to its high success rate and minimal morbidity. Case Description: A 59-year-old male patient underwent cine-coronario-graphy through a trans-radial approach because of angina. During the study, a 6Fr catheter fragment ruptured, detached and migrated to a right middle cerebral artery branch. We recovered it with a coronary balloon. Conclusion: A coronary angioplasty balloon is an option for retrieving foreign objects or device fragments that have migrated into cerebral vasculature.

Publisher

Scientific Scholar

Subject

Clinical Neurology,Surgery

Reference8 articles.

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2. Complications of endovascular polymers associated with vascular introducer sheaths and metallic coils in 3 patients, with literature review;Fealey;Am J Surg Pathol,2008

3. Intravascular polymer material after coil embolization of a giant cerebral aneurysm;Mehta;Hum Pathol,2009

4. Endovascular foreign body retrieval;Carroll;J Vasc Surg,2013

5. Accidental guide catheter fracture in mechanical thrombectomy;Al-Schameri;Interv Neuroradiol,2018

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