Management of acute ischaemic stroke due to Sheldon catheter insertion into the right common carotid artery using the aspiration thrombectomy: a case report

  • P. Antosik Department of General and Interventional Radiology, Poznan University of Medical Sciences, Poland https://orcid.org/0000-0001-7922-7467
  • M. Filus Department of General and Interventional Radiology, Poznan University of Medical Sciences, Poland
  • M. Błaszyk Department of General and Interventional Radiology, Poznan University of Medical Sciences, Poland
  • R. Juszkat Department of General and Interventional Radiology, Poznan University of Medical Sciences, Poland
Keywords: mechanical thrombectomy; acute ischaemic stroke; carotid catheterization; balloon tamponade; interventional radiology.

Abstract

Accidental carotid cannulation using a large-bore catheter is one of the complications of central venous catheter insertion, reported in 1 % of performed procedures. Management of arterial catheterization contains direct manual compression, endovascular treatment, and open surgical repair. Inadvertent arterial cannulation can lead to hemorrhage, pseudoaneurysm, arteriovenous fistula, stroke or death. Mechanical removal of thrombotic material is presently the most effective method of stroke treatment. Rapid and early restoration of blood flow is crucial for the improvement of the neurological condition. This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade. Aspiration thrombectomy was successfully performed to manage acute ischaemia of the brain.

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Published
2019-06-13
How to Cite
Antosik, P., Filus, M., Błaszyk, M., & Juszkat, R. (2019). Management of acute ischaemic stroke due to Sheldon catheter insertion into the right common carotid artery using the aspiration thrombectomy: a case report. Ukrainian Interventional Neuroradiology and Surgery, 27(1), 76-80. https://doi.org/10.26683/2304-9359-2019-1(27)-76-80