Trapped cerebral thrombectomy device: A case report of a rare complication. (April 2015)

• Record Type: Journal Article
• Authors: Geuzebroek, Guillaume SC; Wille, Jan; Vries, Jean-Paul de; Schonewille, Wouter; Vos, Jan-Albert
• Is Part Of: Vascular. Volume 23:Number 2(2015:Apr.)
• Page Start: 179
• Page End: 182
• Publication Date: 2015-04
• Subjects: Intra-arterial -- thrombectomy -- trapped -- complication -- ischaemic stroke -- therapy; 616.13
• DOI: 10.1177/1708538114535393
• Languages: English
• ISSNs: 1708-5381

Abstract

Intravenous thrombolysis with recombinant tissue plasminogen activator is currently the standard therapy for acute ischaemic stroke when started within 4.5 h of symptom onset. Systemic thrombolytic therapy can, however, lead to potentially lethal bleeding complications and is contra-indicated in several circumstances. Intra-arterial thrombolysis and/or intra-arterial thrombectomy can overcome these drawbacks and even increase the rate of recanalization. While intravenous thrombolysis is a relatively non-complex treatment, intra-arterial therapy in acute ischaemic stroke patients requires a dedicated intervention team which has to be available at all times. In this case report, we describe the multidisciplinary approach of a rare complication of a trapped mechanical thrombectomy device.