Skip to main content
Top
Published in: Acta Neurochirurgica 11/2016

01-11-2016 | Case Report - Vascular

Pseudoaneurysm formation caused by the withdrawal of a Trevo ProVue stent at a tortuous cerebral vessel: a case report

Authors: Kouichi Misaki, Naoyuki Uchiyama, Masanao Mohri, Tomoya Kamide, Taishi Tsutsui, Naomi Kanamori, Keisuke Kurokawa, Mitsutoshi Nakada

Published in: Acta Neurochirurgica | Issue 11/2016

Login to get access

Abstract

This is the first report on the mechanism of pseudoaneurysm formation after withdrawal of a stent retriever. A 79-year-old woman developed cardiogenic embolization of the distal middle cerebral artery (M2). The deployed stent retriever bent because of vessel tortuosity. After withdrawal of the stent with strong resistance, complete revascularization was achieved, but an extravasation was detected at the site. Eight hours after disappearance of the extravasation, re-bleeding occurred with aneurysm-like pooling of contrast media. Direct surgical observation confirmed a pseudoaneurysm formation. The pseudoaneurysm was likely formed by avulsion of a fine vessel during withdrawal of the stent retriever at a tortuous vessel.
Literature
1.
go back to reference Pereira VM, Yilmaz H, Pellaton A, Slater LA, Krings T, Lovblad KO (2015) Current status of mechanical thrombectomy for acute stroke treatment. J Neuroradiol 42:12–20CrossRefPubMed Pereira VM, Yilmaz H, Pellaton A, Slater LA, Krings T, Lovblad KO (2015) Current status of mechanical thrombectomy for acute stroke treatment. J Neuroradiol 42:12–20CrossRefPubMed
2.
go back to reference Leishangthem L, Satti SR (2014) Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke. J Neurosurg 121:995–998CrossRefPubMed Leishangthem L, Satti SR (2014) Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke. J Neurosurg 121:995–998CrossRefPubMed
3.
go back to reference Yub Lee S, Won Youn S, Kyun Kim H, Rok Do Y (2015) Inadvertent detachment of a retrievable intracranial stent: review of manufacturer and user facility device experience. Neuroradiol J 28:172–176CrossRefPubMedPubMedCentral Yub Lee S, Won Youn S, Kyun Kim H, Rok Do Y (2015) Inadvertent detachment of a retrievable intracranial stent: review of manufacturer and user facility device experience. Neuroradiol J 28:172–176CrossRefPubMedPubMedCentral
4.
go back to reference Arnold M, Kappeler L, Nedeltchev K, Brekenfeld C, Fischer U, Keserue B, Remonda L, Schroth G, Mattle HP (2007) Recanalization and outcome after intra-arterial thrombolysis in middle cerebral artery and internal carotid artery occlusion: does sex matter? Stroke J Cereb Circ 38:1281–1285CrossRef Arnold M, Kappeler L, Nedeltchev K, Brekenfeld C, Fischer U, Keserue B, Remonda L, Schroth G, Mattle HP (2007) Recanalization and outcome after intra-arterial thrombolysis in middle cerebral artery and internal carotid artery occlusion: does sex matter? Stroke J Cereb Circ 38:1281–1285CrossRef
5.
go back to reference Navia P, Larrea JA, Pardo E, Arce A, Martinez-Zabaleta M, Diez-Gonzalez N, Murias E, Arraez-Aybar LA, Masso J (2015) Initial experience using the 3MAX cerebral reperfusion catheter in the endovascular treatment of acute ischemic stroke of distal arteries. J Neurointerv Surg 8:787–790 Navia P, Larrea JA, Pardo E, Arce A, Martinez-Zabaleta M, Diez-Gonzalez N, Murias E, Arraez-Aybar LA, Masso J (2015) Initial experience using the 3MAX cerebral reperfusion catheter in the endovascular treatment of acute ischemic stroke of distal arteries. J Neurointerv Surg 8:787–790
6.
go back to reference Haussen DC, Lima A, Nogueira RG (2016) The Trevo XP 3 × 20 mm retriever (‘Baby Trevo’) for the treatment of distal intracranial occlusions. J Neurointerv Surg 8:295–299 Haussen DC, Lima A, Nogueira RG (2016) The Trevo XP 3 × 20 mm retriever (‘Baby Trevo’) for the treatment of distal intracranial occlusions. J Neurointerv Surg 8:295–299
Metadata
Title
Pseudoaneurysm formation caused by the withdrawal of a Trevo ProVue stent at a tortuous cerebral vessel: a case report
Authors
Kouichi Misaki
Naoyuki Uchiyama
Masanao Mohri
Tomoya Kamide
Taishi Tsutsui
Naomi Kanamori
Keisuke Kurokawa
Mitsutoshi Nakada
Publication date
01-11-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2952-8

Other articles of this Issue 11/2016

Acta Neurochirurgica 11/2016 Go to the issue

Letter to the editor - Neurosurgery Training

WhatsAPP in neurosurgery: the best practice is in our hands