An Official publication of The Asian Congress of Neurological Surgeons (AsianCNS)

Search Article
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Advertise Subscribe Contacts Login  Facebook Tweeter
  Users Online: 506 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
 
CASE REPORT
Ahead of Print

Efficacy and safety of a modified pigtail-shaped microguidewire during endovascular thrombectomy


1 Department of Neurosurgery, Aichi Medical University, Nagakute, Aichi, Japan
2 Neuroendovascular Therapy Center, Aichi Medical University, Nagakute, Aichi, Japan

Correspondence Address:
Tomotaka Dr. Ohshima,
1-1 Yazakokarimata, Nagakute, Aichi 480-1195
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajns.AJNS_28_19

A 75-year-old man presented with right-sided hemiplegia and was diagnosed with a left middle cerebral artery occlusion. He underwent endovascular thrombectomy, and a bulge was found. A modified pigtail-shaped microguidewire (MPMGW) proved useful for diagnosis because it allowed differentiation between the occluded artery and a saccular aneurysm as the etiology. When a clot was partially retrieved, a previously unidentified vessel dilatation appeared. The dilatation origin was unclear and could have resulted from either the occluded artery or an unruptured saccular aneurysm. We tried to navigate the MPMGW into the bulging area. The patient showed unusual body movement attributed to pain and the dilatation was diagnosed as an aneurysm. Subsequent 3-dimensional angiography revealed a recanalized artery and the aneurysm. With no subarachnoid hemorrhage or extravasation of the contrast medium. The hemiplegia dramatically improved. An MPMGW may be useful in acute thrombectomy where the target vessel cannot be visualized during the procedure.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Ato F
    -  Ohshima TD
    -  Miyachi S
    -  Matsuo N
    -  Kawaguchi R
    -  Takayasu M
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed43    
    PDF Downloaded8    

Recommend this journal