Background: Retained microcatheter after endovascular embolization of brain vascular malformation lesions poses serious risks. Long-term complications have been sparsely described in the literature.
Material And Methods: We report a rare complication of limb ischemia following the complete migration of a retained microcatheter. The literature review was performed using the mesh terms "complications," "endovascular interventions," "retained catheter," and "Onyx" on PubMed.
Result: The patient had undergone embolization of dural AV fistula (DAVF) at the craniovertebral junction (CVJ) 5 years before presentation using ethylene vinyl alcohol (Onyx). He presented with acute right lower limb ischemia. Emergency endovascular removal of the catheter and thrombus aspiration were done.
Conclusion: Migrated catheters confined within vascular lumen can be effectively treated by an endovascular approach. Patient education about complications may help in seeking medical care for timely intervention.
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http://dx.doi.org/10.4103/0028-3886.370460 | DOI Listing |
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
December 2024
Department of Radiology, University Hospital Hradec Kralove, Hradec Kralove, Czech Republic.
Objectives: Postpartum haemorrhage is the most common cause of mortality among women after childbirth. Therefore, this work aims to highlight the possibility of endovascular treatment of postpartum haemorrhage due to remnants in patients with placenta accreta spectrum disorders (PAS disorders) using selective UAE after failure of the standard management. This procedure is a relatively safe and technically nondemanding, with a low risk of recurrent vaginal bleeding.
View Article and Find Full Text PDFJ Neurointerv Surg
November 2024
Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Middle meningeal artery embolization (MMAE) is an effective adjunctive treatment for chronic subdural hematomas and carries a low risk of significant complications.1 Here we describe the management of a retained and fractured microcatheter following liquid embolic MMAE. A patient with chronic recurrent subdural hematomas underwent bilateral MMAE with Onyx liquid embolic material (Medtronic).
View Article and Find Full Text PDFIDCases
June 2024
Student Research Committee, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Infections associated with healthcare manipulations, particularly bloodstream infections stemming from catheters and medical devices, significantly heighten the probability of vertebral osteomyelitis. The diagnosis of infective endocarditis (IE) frequently overlaps with vertebral osteomyelitis (VO). In cases where individuals are suspected of having hematogenous vertebral osteomyelitis and have an intravascular catheter or device, it is recommended to undertake blood culture collection.
View Article and Find Full Text PDFAsian J Neurosurg
March 2024
Neuroendovascular Therapy Center, Aichi Medical University, Nagakute, Aichi, Japan.
We noticed that the X-ray absorption value of the tip of each microcatheter used for aneurysm treatment varied from product to product. We hypothesized that the differences were caused by variations in the metal's density braid, which could be related to the ability of the tip to retain its shape. The X-ray absorption value of each microcatheter tip was measured.
View Article and Find Full Text PDFSmall
September 2024
Department of Ultrasound in Medicine, Shanghai Institute of Ultrasound in Medicine, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, P. R. China.
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