"Insights into vessel perforations during thrombectomy: Characteristics of a severe complication and the effect of thrombolysis".
Victor Schulze-ZachauNikki RommersNikolaos NtouliasBrehm AlexNadja KrugIoannis TsogkasMatthias MutkeThilo RuscheAmedeo CervoClaudia RolloMarkus Alfred MöhlenbruchJessica JesserKornelia KreiserKatharina AlthausManuel Requena RuizMarc Rodrigo-GisbertTomas DobrockyBettina L SerrallachChristian H NolteChristoph RieglerJawed NawabiErrikos MasliasPatrik MichelGuillaume SaliouNathan ManningAlexander McQuinnAlon TaylorChristoph J MaurerAnsgar BerlisDaniel Po KaiserAni CuberiManuel MoreuAlfonso López-FríasCarlos Pérez-GarcíaRiitta RautioYlikotila PauliNicola LimbucciLeonardo RenieriIsabel FragataTania Rodriguez-AresJan Stefan KirschkeJulian SchwartingSami Al KasabAlejandro M SpiottaAhmad Abu QdaisAdam A DmytriwRobert W RegenhardtAman B PatelVitor Mendes PereiraNicole M CancelliereCarsten SchmeelFranziska DornMalte SauerGrzegorz M KarwackiJane KhalifeAjith J ThomasHamza A ShaikhChristian CommodaroMarco PileggiRoland SchwabFlavio BellanteAnne DusartJeremy HofmeisterPaolo MachiEdgar A SamaniegoDiego J OjedaRobert M StarkeAhmed AbdelsalamFrans Van den BerghSylvie De RaedtMaxim BesterFabian FlottmannDaniel WeissMarius KaschnerPeter T KanGautam EdhayanMichael R LevittSpencer L RaubMira KatanUrs FischerMarios-Nikos PsychogiosPublished in: European stroke journal (2024)
Vessel perforation during thrombectomy is a severe and frequently fatal complication. This study does not suggest that thrombolysis significantly attributes to worse prognosis. Prompt cessation of active bleeding within 20 min is critical, emphasizing the need for interventionalists to be trained in complication management.