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/10.4103/0028-3886.370460DOI Listing

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