Tsuji Keiichi, Tsuji Atsushi, Yoshimura Yayoi, Ogawa Nobuhiro, Nakazawa Takuya, Nozaki Kazuhiko
Department of Neurosurgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Department of Neurology, Shiga University of Medical Science, Otsu, Shiga, Japan.
J Neuroendovasc Ther. 2021;15(7):438-443. doi: 10.5797/jnet.cr.2020-0089. Epub 2020 Dec 29.
We report a rare complication, carotid cavernous fistula (CCF), due to vessel perforation during thrombectomy for acute ischemic stroke (AIS).
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.
During thrombectomy for intracranial large vessel occlusion underlying intracranial atherosclerotic stenosis, the risk of vascular injury should be kept in mind.
我们报告了一种罕见的并发症，即急性缺血性卒中（AIS）血栓切除术期间因血管穿孔导致的颈内动脉海绵窦瘘（CCF）。
一名88岁女性因左颈内动脉C4段闭塞接受了血栓切除术。在将微导丝向远端引导时，C4段内侧存在强烈阻力，在置入和取出支架后发现了CCF。认为这是由颈内动脉颅内动脉粥样硬化狭窄导致的穿孔引起的。
在颅内动脉粥样硬化狭窄导致的颅内大血管闭塞的血栓切除术中，应牢记血管损伤的风险。
