Catheter fragment retrieved from an arterial branch of the right middle cerebral artery

Surg Neurol Int. 2019 Jun 28:10:129. doi: 10.25259/SNI-171-2019. eCollection 2019.

Abstract

Background: Cerebral emboli is a rare complication of endovascular procedures and foreign bodies in the cerebrovascular system can lead to stroke. When an intravascular foreign body is identified, endovascular retrieval should be attempted due to its high success rate and minimal morbidity.

Case description: A 59-year-old male patient underwent cine-coronario-graphy through a trans-radial approach because of angina. During the study, a 6Fr catheter fragment ruptured, detached and migrated to a right middle cerebral artery branch. We recovered it with a coronary balloon.

Conclusion: A coronary angioplasty balloon is an option for retrieving foreign objects or device fragments that have migrated into cerebral vasculature.

Keywords: Complication; Coronary baloon; Endovascular procedure; Fragment catheter.

Publication types

  • Case Reports