Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion
Mechanical thrombectomy of tandem occlusion involving the internal carotid artery (ICA) is effective but complex. We discuss ICA rupture during thrombectomy of a tandem ICA occlusion. After crossing the ICA origin, manual angiography in the closed segment between proximal severe stenosis and distal...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805006 |
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| author | Ariharan K. Sharath Kumar G.G Somasree Manna |
| author_facet | Ariharan K. Sharath Kumar G.G Somasree Manna |
| author_sort | Ariharan K. |
| collection | DOAJ |
| description | Mechanical thrombectomy of tandem occlusion involving the internal carotid artery (ICA) is effective but complex. We discuss ICA rupture during thrombectomy of a tandem ICA occlusion. After crossing the ICA origin, manual angiography in the closed segment between proximal severe stenosis and distal thrombus leads to ICA rupture. The combination of high pressure created in a closed segment and weak structural points can lead to the rupture. The rupture can happen at the intradural segment of the ICA or an aneurysm. This complication may be avoided by an antegrade approach to tandem occlusions, low-flow microcatheter injections, and common carotid artery injections. |
| format | Article |
| id | doaj-art-e2481f9ab12040bd843ab4bb4bf13a73 |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-e2481f9ab12040bd843ab4bb4bf13a732025-08-20T02:04:21ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-486910.1055/s-0045-1805006Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem OcclusionAriharan K.0https://orcid.org/0000-0002-7961-2282Sharath Kumar G.G1https://orcid.org/0000-0002-9501-8988Somasree Manna2https://orcid.org/0000-0003-3650-4756Department of Neuroimaging and Interventional Radiology, First Neuro Hospital, Mangalore, Karnataka, IndiaDepartment of Neuroimaging and Interventional Radiology, Apollo Hospital, Bangalore, Karnataka, IndiaDepartment of Radiodiagnosis, Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaMechanical thrombectomy of tandem occlusion involving the internal carotid artery (ICA) is effective but complex. We discuss ICA rupture during thrombectomy of a tandem ICA occlusion. After crossing the ICA origin, manual angiography in the closed segment between proximal severe stenosis and distal thrombus leads to ICA rupture. The combination of high pressure created in a closed segment and weak structural points can lead to the rupture. The rupture can happen at the intradural segment of the ICA or an aneurysm. This complication may be avoided by an antegrade approach to tandem occlusions, low-flow microcatheter injections, and common carotid artery injections.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805006ICA rupturetandem occlusionmechanical thrombectomy |
| spellingShingle | Ariharan K. Sharath Kumar G.G Somasree Manna Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion Journal of Clinical Interventional Radiology ISVIR ICA rupture tandem occlusion mechanical thrombectomy |
| title | Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion |
| title_full | Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion |
| title_fullStr | Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion |
| title_full_unstemmed | Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion |
| title_short | Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion |
| title_sort | internal carotid artery rupture during mechanical thrombectomy of tandem occlusion |
| topic | ICA rupture tandem occlusion mechanical thrombectomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1805006 |
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