AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 2008;29:974.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A0958

INTERVENTIONAL

Iatrogenic Arterial Perforation During Acute Stroke Interventions

T.N. Nguyen, S. Lanthier and D. Roy

From the Department of Neurology, Neurosurgery, Radiology (T.N.N.), Boston University Medical Center, Boston, Mass; and the Neurology Service (S.L.) and Department of Radiology (D.R.), 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.






Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X