{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T04:05:48Z","timestamp":1743825948688,"version":"3.40.3"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground<\/jats:title>\nAs mechanical thrombectomy is commonly performed, preparation for various complications is necessary. However, few reports have described microguidewires (MGWs) becoming entrapped.<\/jats:p>\n<\/jats:sec>\n\nCase Description<\/jats:title>\nAn 83-year-old man with a history of cancer in the pancreatic head developed a disturbance of consciousness and left hemiplegia. Mechanical thrombectomy was performed for occlusion of the right posterior cerebral artery. The occluded lesion was passed using an MGW with a straight tip. The MGW became impossible to move after advancing into the perforator distal to the occluding thrombus. The MGW was removed using a goose-neck snare under general anesthesia. A small amount of subarachnoid hemorrhage occurred after wire removal but did not affect the clinical course.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nMGW entrapment is a rare complication in neuroendovascular therapy, particularly in mechanical thrombectomy. Removal of an entrapped MGW is associated with a risk of hemorrhagic complications. If the thrombus is hard and a J-shaped wire cannot be passed, the risk of MGW entrapment is high.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_193_2025","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T08:34:09Z","timestamp":1743755649000},"page":"126","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of microguidewire entrapment during mechanical thrombectomy for posterior cerebral artery occlusion"],"prefix":"10.25259","volume":"16","author":[{"given":"Kohei","family":"Ishikawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gota","family":"Nagayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tohru","family":"Sano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yosuke","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Kazami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michinori","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Gocho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiro","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichi","family":"Murayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Hepatobiliary and Pancreas Surgery, Jikei University School of Medicine, Minato-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"10.25259\/SNI_193_2025\/ref-1","doi-asserted-by":"crossref","first-page":"260","DOI":"10.2174\/1573403X11309030010","article-title":"Management of retained intervention guide-wire: A literature review","volume":"9","author":"Al-Moghairi","year":"2013","journal-title":"Curr Cardiol Rev"},{"key":"10.25259\/SNI_193_2025\/ref-2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s00062-013-0272-4","article-title":"Trapping of endovascular microguidewire: A rare and serious complication during therapeutic microcatheterization for cerebrovascular disease","volume":"25","author":"Cho","year":"2015","journal-title":"Clin Neuroradiol"},{"key":"10.25259\/SNI_193_2025\/ref-3","doi-asserted-by":"crossref","first-page":"251","DOI":"10.15274\/INR-2014-10023","article-title":"Fatal avulsion of choroidal or perforating arteries by guidewires. Case reports ex vivo experiments, potential mechanisms and prevention","volume":"20","author":"Darsaut","year":"2014","journal-title":"Interv Neuroradiol"},{"key":"10.25259\/SNI_193_2025\/ref-4","doi-asserted-by":"crossref","first-page":"206","DOI":"10.5797\/jnet.cr.2016-0025","article-title":"A case of anterior choroidal artery occlusion caused by stuck of microguidewire during cerebral aneurysm embolization","volume":"10","author":"Katayama","year":"2016","journal-title":"J Neuroendovasc Ther"},{"key":"10.25259\/SNI_193_2025\/ref-5","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1136\/neurintsurg-2013-010710.rep","article-title":"Entrapment of a micro-guidewire during stenting of basilar stenosis","volume":"6","author":"Ma","year":"2014","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_193_2025\/ref-6","doi-asserted-by":"crossref","first-page":"e234","DOI":"10.1016\/j.wneu.2021.12.113","article-title":"Endovascular thrombectomy for distal medium vessel occlusions of the middle cerebral artery: A safe and effective procedure","volume":"160","author":"Marchal","year":"2022","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_193_2025\/ref-7","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1093\/ons\/opx237","article-title":"Spontaneous microguidewire extrusion from the foot following cerebral aneurysm treatment: first case report","volume":"15","author":"Nader","year":"2018","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"10.25259\/SNI_193_2025\/ref-8","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1136\/jnis-2023-020531","article-title":"Incidence and outcome of perforations during medium vessel occlusion compared with large vessel occlusion thrombectomy","volume":"16","author":"Schulze-Zachau","year":"2024","journal-title":"J Neurointerv Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-case-of-microguidewire-entrapment-during-mechanical-thrombectomy-for-posterior-cerebral-artery-occlusion\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-microguidewire-entrapment-during-mechanical-thrombectomy-for-posterior-cerebral-artery-occlusion\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T08:34:12Z","timestamp":1743755652000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-case-of-microguidewire-entrapment-during-mechanical-thrombectomy-for-posterior-cerebral-artery-occlusion\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,4]]},"references-count":8,"alternative-id":["10.25259\/SNI_193_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_193_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,4]]},"article-number":"126"}}