Vessel perforation during stent retriever thrombectomy for acute ischemic stroke: technical details and clinical outcomes.
Christopher T PrimianiKyle M FargenChristopher T PrimianiZeguang RenTravis M DumontLeonardo B C BrasilienseGuilherme DabusItalo LinfantePeter KanVisish M SrinivasanMandy J BinningRishi GuptaAquilla S TurkLucas ElijovichAdam ArthurHussain ShallwaniElad I LevyAdnan H SiddiquiPublished in: Journal of neurointerventional surgery (2016)
Intraprocedural perforations during stent retriever thrombectomy were rare, but when they occurred were associated with high mortality. Perforations most commonly occurred at distal occlusion sites and were often characterized by difficulty traversing the occlusion with a microcatheter or microwire, or while withdrawing the stent retriever. Nevertheless, 25% of patients had a favorable functional outcome, suggesting that in some patients with this complication good neurological recovery is achievable.