ArticleSurgical neurology international2020
Ruptured hidden intracranial aneurysm during mechanical thrombectomy: A case report.
Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 13 citations in OpenAlex.
- Single-Phase CTA Guided by the Time-Enhancement Curve Derived from CT Perfusion for Mechanical Thrombectomy.Journal of neuroendovascular therapy · 2026Article
- Hyperdense Aneurysm Visualized at the Occlusion Site During Thrombectomy: A Case Report.Cureus · 2025Article
- The risk of endovascular thrombectomy in acute ischemic stroke patients with large vessel occlusions harboring unruptured intracranial aneurysms.BMC neurology · 2025Article
- Incidental aneurysm rupture during endovascular thrombectomy for acute ischaemic stroke.BMJ case reports · 2025Article
- Mechanical Thrombectomy for Large Vessel Occlusion Strokes Involving a Cerebral Aneurysm in the Target Vessel: Case Series.Case reports in vascular medicine · 2025Article
- The Usefulness of a 3D Roadmap of Occluded Vessels Created from Rapid 3D Proton Density-Weighted Imaging for Mechanical Thrombectomy.Journal of neuroendovascular therapy · 2025Article
- Cross-Circulation Thrombectomy for Acute Middle Cerebral Artery Occlusion from Dislodged Thrombus of a Giant Internal Carotid Aneurysm: A Case Report.Journal of neuroendovascular therapy · 2024Article
- Mechanical thrombectomy for acute fetal posterior cerebral artery occlusion with a hidden unruptured cerebral aneurysm: illustrative case.Journal of neurosurgery. Case lessons · 2022Article
- Hemodynamic Analysis of Pipeline Embolization Device Stent for Treatment of Giant Intracranial Aneurysm under Unsupervised Learning Algorithm.Journal of healthcare engineering · 2022Article
- How to Improve the Management of Acute Ischemic Stroke by Modern Technologies, Artificial Intelligence, and New Treatment Methods.Life (Basel, Switzerland) · 2021Review
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4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute ischemic stroke (AIS) patients have a higher prevalence of cerebral aneurysm than a healthy reference population. However, it was recently reported that cases of an unknown hidden aneurysm in AIS patients with large-vessel occlusion are rare. We report a rare case of subarachnoid hemorrhage (SAH) during mechanical thrombectomy (MT) using a stent retriever for AIS. CASE DESCRIPTION: A 46-year-old patient with the right internal carotid artery terminal occlusion presented with the left-sided hemiparesis, hemispatial neglect, and dysarthria and underwent MT. Initial thrombectomy using a stent retriever and reperfusion catheter was unsuccessful. Angiography just before the second attempt showed SAH. Fortunately, we achieved recanalization of the thrombolysis in cerebral infarction 2b and hemostasis by lowering the blood pressure followed by coil embolization of the ruptured aneurysm. Only a few cases of ruptured aneurysms have been reported during MT using a stent retriever. Stent withdrawal is suspected to cause aneurysm rupture in cases with an unknown hidden middle cerebral artery bifurcation aneurysm.
conclusionPreinterventional detection of a hidden aneurysm is difficult. Therefore, surgeons must always consider the possibility of a hidden aneurysm rupture in vessels distal to the occlusion site and make adequate preparations for the prompt treatment of ruptured aneurysms after MT.
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