1. Direct aspiration first pass technique for a middle cerebral artery occlusion with a hidden aneurysm
- Author
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Katsunori Asai, Tomohiro Kawano, Toshiki Yoshimine, Hiroyuki Ima, Manabu Sakaguchi, Tomoki Kidani, Tomoaki Murakami, Hajime Nakamura, Yoshinori Kadono, and Tomohiko Ozaki
- Subjects
Suction (medicine) ,Middle Cerebral Artery ,medicine.medical_specialty ,medicine.medical_treatment ,Suction ,Revascularization ,Diagnosis, Differential ,Aneurysm ,Fibrinolytic Agents ,medicine.artery ,medicine ,Humans ,Thrombolytic Therapy ,cardiovascular diseases ,Stroke ,Thrombectomy ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Angiography, Digital Subtraction ,Thrombolysis ,medicine.disease ,Magnetic Resonance Imaging ,Cerebral Angiography ,Surgery ,Tissue Plasminogen Activator ,Middle cerebral artery ,cardiovascular system ,Female ,Radiology ,Tomography, X-Ray Computed ,business ,Fibrinolytic agent ,Cerebral angiography - Abstract
Hidden aneurysms within occluded vessels present a challenge for interventionists because vessel perforation can lead to life-threatening complications. We present a case of middle cerebral artery ischemic stroke, refractory to thrombolysis. A direct aspiration first pass technique (ADAPT) was employed for revascularization. Following thrombectomy, an aneurysm of the occluded vessel was revealed. Despite this, the patient recovered without hemorrhagic complication. ADAPT permits the minimal insertion of endovascular devices and might be a safe procedure when hidden aneurysms are suspected.
- Published
- 2015