Chakravarthi Sudheer, Pasya Sai Kumar Reddy, Gorijala Vamsi Krishna, Guntamukkala Anusha, Sajja Kalyan Chakravarthy
Department of Neurology, Life Neuro Vascular Institute, Guntur, IND.
Department of Endovascular Neurosurgery, Thomas Jefferson University, Philadelphia, USA.
Cureus. 2022 Sep 8;14(9):e28956. doi: 10.7759/cureus.28956. eCollection 2022 Sep.
Stents are being widely used in the neuroendovascular field more often for assisted coiling of aneurysms and treatment of atherosclerotic stenosis. Stent detachment and embolization are one of the most feared complications associated with poor clinical outcomes. Many techniques have been detailed in the literature for extracting such dislodged stents. We describe a case of retrieval of an inadvertently detached balloon-mounted stent from the intracranial left vertebral artery. This occurred in a 58-year-old male patient with a history of diabetes mellitus whose stenting procedure was planned for severe intracranial atherosclerotic disease of bilateral vertebral arteries causing recurrent posterior circulation ischemic events. Stentectomy was performed successfully using a stent retriever. Intracranial vertebral artery stenting was eventually accomplished with excellent clinical outcomes.
支架在神经血管内领域的应用越来越广泛，更多地用于动脉瘤的辅助栓塞和动脉粥样硬化性狭窄的治疗。支架脱离和栓塞是最令人担忧的并发症之一，会导致不良临床后果。文献中已详细介绍了许多取出此类移位支架的技术。我们描述了一例从颅内左椎动脉意外取出脱落的球囊扩张支架的病例。该病例为一名58岁男性糖尿病患者，因双侧椎动脉严重颅内动脉粥样硬化疾病导致反复后循环缺血事件而计划进行支架置入手术。使用支架回收器成功进行了支架切除术。最终成功完成了颅内椎动脉支架置入术，临床效果良好。
