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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:630-632, April 2003
© 2003 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Microsnare-Assisted Mechanical Removal of Intraprocedural Distal Middle Cerebral Arterial Thromboembolism

Pieter Fourie^a and Ian C. Duncan^a

^a From the Unitas Interventional Unit, Unitas Hospital, Lyttleton, South Africa

Address reprint requests to Ian C. Duncan, MD, Unitas Hospital, Unitas Interventional Unit, P.O. Box 14031, Lyttleton, South Africa 0140

Thromboembolic events are potential complications of neurointerventional procedures. The mainstay of therapy for these complications is both supportive therapy and the use of fibrinolytic agents. In some cases, the occluding clot seems to be resistant to fibrinolytic or anti-platelet agents. We herein report our successful attempt at clot removal by using a microsnare to mechanically capture and remove a small resistant organized clot fragment that was occluding one of the post-trifurcation M2 divisions of a middle cerebral artery. This complication occurred during coil embolization of an ipsilateral posterior communicating aneurysm.

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