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.
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
MeSH terms
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Aged
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Carotid-Cavernous Sinus Fistula* / diagnosis
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Carotid-Cavernous Sinus Fistula* / etiology
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Carotid-Cavernous Sinus Fistula* / surgery
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Computed Tomography Angiography / methods*
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Equipment Failure Analysis
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Equipment Failure*
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Female
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Humans
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Infarction, Middle Cerebral Artery* / complications
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Infarction, Middle Cerebral Artery* / diagnosis
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Infarction, Middle Cerebral Artery* / surgery
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Intraoperative Complications* / diagnosis
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Intraoperative Complications* / surgery
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Ischemic Stroke* / etiology
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Ischemic Stroke* / physiopathology
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Ischemic Stroke* / therapy
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Middle Cerebral Artery* / diagnostic imaging
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Middle Cerebral Artery* / surgery
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Thrombectomy* / adverse effects
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Thrombectomy* / instrumentation
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Thrombectomy* / methods
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Treatment Outcome
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Vascular Access Devices / adverse effects*