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Erschienen in: Acta Neurochirurgica 11/2016

08.09.2016 | Case Report - Vascular

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

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

Erschienen in: Acta Neurochirurgica | Ausgabe 11/2016

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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.
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Metadaten
Titel
Pseudoaneurysm formation caused by the withdrawal of a Trevo ProVue stent at a tortuous cerebral vessel: a case report
verfasst von
Kouichi Misaki
Naoyuki Uchiyama
Masanao Mohri
Tomoya Kamide
Taishi Tsutsui
Naomi Kanamori
Keisuke Kurokawa
Mitsutoshi Nakada
Publikationsdatum
08.09.2016
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 11/2016
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2952-8

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