Occlusion of the middle cerebral artery due to synthetic fibers.
We report an unusual etiology for a thromboembolic complication. Occlusion of the middle cerebral artery occurred before embolization of an intracranial aneurysm. Attempts to recanalize the artery failed by using both fibrinolytics and IIb/IIIa inhibitors but succeeded with mechanical thrombectomy with a micro-snare. Pathologic analysis of the thrombus showed numerous synthetic fibers that were determined to have originated from unsealed gauze that was used during the procedure.
Chapot
R
R
Department of Interventional Neuroradiology, Hôpital Lariboisière, Paris, France.
Wassef
M
M
Bisdorff
A
A
Rogopoulos
A
A
Merland
J-J
JJ
Houdart
E
E
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000628:therapy; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging; D011859:Radiography