title: Trapped cerebral thrombectomy device: A case report of a rare complication.
abstract: Intravenous thrombolysis with recombinant tissue plasminogen activator is currently the standard therapy for acute ischaemic stroke when started within 4.5 h of symptom onset. Systemic thrombolytic therapy can, however, lead to potentially lethal bleeding complications and is contra-indicated in several circumstances. Intra-arterial thrombolysis and/or intra-arterial thrombectomy can overcome these drawbacks and even increase the rate of recanalization. While intravenous thrombolysis is a relatively non-complex treatment, intra-arterial therapy in acute ischaemic stroke patients requires a dedicated intervention team which has to be available at all times. In this case report, we describe the multidisciplinary approach of a rare complication of a trapped mechanical thrombectomy device.
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands g.s.c.geuzebroek@gmail.com.
authors.forename: Guillaume S C
authors.initials: GS
authors.lastname: Geuzebroek
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Jan
authors.initials: J
authors.lastname: Wille
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: de Vries
authors.affiliation: Department of Neurology, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Wouter
authors.initials: W
authors.lastname: Schonewille
authors.affiliation: Department of Interventional Radiology, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Jan-Albert
authors.initials: JA
authors.lastname: Vos
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000175:diagnosis / Q000601:surgery; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D020521:Stroke / Q000628:therapy*; D017131:Thrombectomy / Q000295:instrumentation*; D015912:Thrombolytic Therapy / Q000295:instrumentation / Q000379:methods; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator
keywords: Intra-arterial; complication; ischaemic stroke; therapy; thrombectomy; trapped