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Carotid Cavernous Fistula during Thrombectomy for Acute Ischemic Stroke : A Case Report

TSUJI Keiichi 80838045 TSUJI Atsushi YOSHIMURA Yayoi OGAWA Nobuhiro NAKAZAWA Takuya NOZAKI Kazuhiko 90252452 0000-0003-1623-068X 滋賀医科大学

2021.07

概要

Objective:
We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS).
Case Presentation:
An 88-year-old woman underwent thrombectomy for left C4 occlusion of the internal carotid artery. There was strong resistance at the medial C4 while the microguidewire was guided distally, and a CCF was found after deploying and retrieving the stent. It was thought to have been caused by perforation due to intracranial atherosclerotic stenosis of the internal carotid artery.
Conclusion:
During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.

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Journal of Neuroendovascular Therapy Vol. 15, No. 7 (2021)

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