RT Journal Article
SR Electronic
T1 Entrapment of a micro-guidewire during stenting of basilar stenosis
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e33
OP e33
DO 10.1136/neurintsurg-2013-010710.rep
VO 6
IS 5
A1 Ning Ma
A1 Lian Liu
A1 Tie-Jun Wang
A1 Xiao-Tong Xu
A1 Zhong-Rong Miao
YR 2014
UL http://jnis.bmj.com/content/6/5/e33.abstract
AB Entrapment of a microwire related to intracranial endovascular therapy is an uncommon complication. A 64-year-old man with symptomatic basilar artery stenosis was treated with stenting. A 300 cm Synchro microwire became trapped in the P1 segment of the left posterior cerebral artery during the procedure. The decision was made to leave the microwire in place, considering that aggressive retrieval procedures could cause injury to the cerebral vasculature. The entrapped microwire was later inadvertently dislocated and removed while pulling the microwire back into the femoral artery with a looped catheter from the left femoral access. This demonstrates that, although entrapment of a microwire during endovascular therapy is a rare event, an optimal salvage technique needs to be explored further.