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Peer-reviewed veterinary case report

Delayed Complication of a Retained Microcatheter during Neurovascular Intervention Presenting as Limb Ischemia: A Case Report and Literature Review.

Year:
2023
Authors:
Mundhe VM et al.
Affiliation:
Department of Endovascular Neurosurgery · India

Abstract

<h4>Background</h4>Retained microcatheter after endovascular embolization of brain vascular malformation lesions poses serious risks. Long-term complications have been sparsely described in the literature.<h4>Material and methods</h4>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.<h4>Result</h4>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.<h4>Conclusion</h4>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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Original publication: https://europepmc.org/article/MED/36861588