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AJNR - American Journal of Neuroradiology

Published ahead of print on February 7, 2008
doi: 10.3174/ajnr.A0958

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American Journal of Neuroradiology 29:974-975, May 2008
© 2008 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Iatrogenic Arterial Perforation during Acute Stroke Interventions

T.N. Nguyen^a, S. Lanthier^b and D. Roy^c

^a Department of Neurology, Neurosurgery, Radiology, Boston University Medical Center, Boston, Mass
^b Neurology Service, Notre Dame Hospital, Montreal, Quebec, Canada
^c Department of Radiology, Notre Dame Hospital, Montreal, Quebec, Canada

Please address correspondence to Thanh N. Nguyen, MD, Assistant Professor, Neurology, Neurosurgery, Radiology, Boston University Medical Center, 715 Albany St C-329, Boston, MA 02118; e-mail: thanh.nguyen{at}bmc.org

SUMMARY: Arterial perforation is a feared complication of acute stroke intervention. A high index of suspicion is important to recognize this complication and tailor patient management to prevent further deterioration in clinical outcome. This report describes the endovascular management of microcatheter arterial perforation in a 66-year-old woman with an acute left middle cerebral artery stroke. The microcatheter was retained in the patient to seal the perforated site, resulting in good outcome at 3-month follow-up.