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

J Neurointerv Surg. 2023 Mar;15(3):e6. doi: 10.1136/neurintsurg-2020-017054.rep. Epub 2022 Feb 9.

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

  • Brain Ischemia* / complications
  • Catheters / adverse effects
  • Fistula* / complications
  • Humans
  • Stents / adverse effects
  • Stroke* / diagnostic imaging
  • Stroke* / etiology
  • Stroke* / surgery
  • Thrombectomy / adverse effects
  • Thrombectomy / methods
  • Treatment Outcome