Aspiration catheter failure leading to carotid-cavernous fistula during stroke thrombectomy

BMJ Case Rep. 2020 Dec 23;13(12):e017054. doi: 10.1136/bcr-2020-017054.

Abstract

Endovascular thrombectomy in acute ischaemic stroke commonly uses aspiration catheters, either alone or in combination with stent retrievers. The Penumbra Aspiration System (Penumbra, Alameda, California, USA) was first approved by the US Food and Drug Administration in 2007, with low reported device-related complications. We present a case of a previously unreported complication related to malfunction of a Penumbra aspiration catheter during stroke thrombectomy resulting in a carotid-cavernous fistula.

Keywords: device; fistula; stroke; thrombectomy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carotid-Cavernous Sinus Fistula* / diagnosis
  • Carotid-Cavernous Sinus Fistula* / etiology
  • Carotid-Cavernous Sinus Fistula* / surgery
  • Computed Tomography Angiography / methods*
  • Equipment Failure Analysis
  • Equipment Failure*
  • Female
  • Humans
  • Infarction, Middle Cerebral Artery* / complications
  • Infarction, Middle Cerebral Artery* / diagnosis
  • Infarction, Middle Cerebral Artery* / surgery
  • Intraoperative Complications* / diagnosis
  • Intraoperative Complications* / surgery
  • Ischemic Stroke* / etiology
  • Ischemic Stroke* / physiopathology
  • Ischemic Stroke* / therapy
  • Middle Cerebral Artery* / diagnostic imaging
  • Middle Cerebral Artery* / surgery
  • Thrombectomy* / adverse effects
  • Thrombectomy* / instrumentation
  • Thrombectomy* / methods
  • Treatment Outcome
  • Vascular Access Devices / adverse effects*