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CASE REPORT
Year : 2022  |  Volume : 8  |  Issue : 2  |  Page : 112-116

Suction thrombectomy using a microcatheter as a salvage method for acute distal occlusion during cerebral aneurysm embolization: A case report


1 Department of Neurosurgery, University Hospital of Patras, Patras, Greece
2 Department of Neuroendovascular Surgery and Interventional Neuroradiology, University Hospital of Patras, Patras, Greece
3 Department of Neuropsychology, University Hospital of Patras, Patras, Greece
4 Department of Neurosurgery; Department of Neuroendovascular Surgery and Interventional Neuroradiology, University Hospital of Patras, Patras, Greece

Correspondence Address:
Vasileios Evangelos Panagiotopoulos
Department of Neurosurgery, University Hospital of Patras, Patras
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/bc.bc_5_22

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The aneurysm coiling process presents a risk of thromboembolic complications, mostly in patients with ruptured aneurysms, given the fact that they cannot receive antiplatelet therapy. Management strategies include medical anticoagulation or antiplatelet therapy, intra-arterial thrombolysis, and mechanical thrombectomy using direct aspiration first-pass technique or stent retrievers. We report our own experience of using an Excelsior SL-10 Microcatheter (Stryker, Fremont, California, USA) with an internal diameter of 0.0165”, originally designed for coil delivery, for contact aspiration of a thrombotic occlusion of a distal anterior cerebral artery during coiling of a broad-based trilobar anterior communicating artery aneurysm. The clot was removed under continuous manual aspiration, and complete recanalization has been accomplished. Mechanical thrombectomy through microcatheter aspiration may be a safe and feasible treatment option for acute distal artery occlusions, especially in the case of tortuous distal vessels during embolization of cerebral aneurysms.


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