{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T10:40:17Z","timestamp":1738924817065,"version":"3.37.0"},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Arterial dissection is a rare complication of mechanical thrombectomy, and the risk factors and clinical course are not well known. We report a case of iatrogenic dissection on atherosclerotic stenosis of the middle cerebral artery (MCA) caused by stent retriever thrombectomy for internal carotid artery (ICA) embolic occlusion.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 78-year-old woman underwent mechanical thrombectomy for ICA embolic occlusion. Preprocedural angiography indicated a thrombus from the C1 segment of the left ICA to the proximal M1 segment of the left MCA and slow antegrade contrast opacification of the mid- to distal-M1. A stent retriever was deployed across the stenotic lesion and pulled back to retrieve a thrombus. Although reperfusion was achieved, mid-M1 occlusion occurred the next day. We considered that endothelial damage from the stent retriever caused iatrogenic dissection at existing atherosclerotic stenosis at mid-M1.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Stent retriever thrombectomy can worsen atherosclerotic stenosis. Vascular imaging follow-up is important after thrombectomy in patients with intracranial stenotic lesions. Clinicians should be aware that iatrogenic dissections can be more likely in atherosclerotic vessels following stent retriever thrombectomy.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_928_2024","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T09:32:47Z","timestamp":1738920767000},"page":"41","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Iatrogenic dissection on atherosclerotic stenosis of the middle cerebral artery caused by stent retriever thrombectomy for internal carotid artery embolic occlusion"],"prefix":"10.25259","volume":"16","author":[{"given":"Masahiro","family":"Morishita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Endo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Ogino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Fumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirohiko","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"10.25259\/SNI_928_2024\/ref-1","doi-asserted-by":"crossref","first-page":"E20","DOI":"10.3171\/2017.1.FOCUS16492","article-title":"Vessel wall signal enhancement on 3-T MRI in acute stroke patients after stent retriever thrombectomy","volume":"42","author":"Abraham","year":"2017","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_928_2024\/ref-2","doi-asserted-by":"crossref","first-page":"524","DOI":"10.3174\/ajnr.A3707","article-title":"Complications of endovascular treatment for acute stroke in the SWIFT trial with solitaire and Merci devices","volume":"35","author":"Akins","year":"2014","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_928_2024\/ref-3","doi-asserted-by":"crossref","first-page":"20150267","DOI":"10.1259\/bjr.20150267","article-title":"Periprocedural complications in endovascular stroke treatment","volume":"89","author":"Akpinar","year":"2016","journal-title":"Br J Radiol"},{"key":"10.25259\/SNI_928_2024\/ref-4","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1177\/1747493017743051","article-title":"Complications of endovascular treatment for acute ischemic stroke: Prevention and management","volume":"13","author":"Balami","year":"2018","journal-title":"Int J Stroke"},{"key":"10.25259\/SNI_928_2024\/ref-5","doi-asserted-by":"crossref","first-page":"1814","DOI":"10.1016\/j.jvir.2015.08.014","article-title":"Delayed stenosis in the intracranial vessels following endovascular treatment for acute stroke","volume":"26","author":"Enomoto","year":"2015","journal-title":"J Vasc Interv Radiol"},{"key":"10.25259\/SNI_928_2024\/ref-6","doi-asserted-by":"crossref","first-page":"126","DOI":"10.3174\/ajnr.A4071","article-title":"One-year MR angiographic and clinical follow-up after intracranial mechanical thrombectomy using a stent retriever device","volume":"36","author":"Eug\u00e8ne","year":"2015","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_928_2024\/ref-7","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s00062-017-0639-z","article-title":"Iatrogenic vessel dissection in endovascular treatment of acute ischemic stroke","volume":"29","author":"Goeggel Simonetti","year":"2019","journal-title":"Clin Neuroradiol"},{"key":"10.25259\/SNI_928_2024\/ref-8","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s00270-012-0496-8","article-title":"Does mechanical thrombectomy in acute embolic stroke have long-term side effects on intracranial vessels? An angiographic follow-up study","volume":"36","author":"Kurre","year":"2013","journal-title":"Cardiovasc Intervent Radiol"},{"key":"10.25259\/SNI_928_2024\/ref-9","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1016\/j.radcr.2021.01.040","article-title":"Iatrogenic intracranial vessel dissection during mechanical thrombectomy rescued by emergent stenting: 2 case reports","volume":"16","author":"Nakahara","year":"2021","journal-title":"Radiol Case Rep"},{"key":"10.25259\/SNI_928_2024\/ref-10","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa1706442","article-title":"Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct","volume":"378","author":"Nogueira","year":"2018","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_928_2024\/ref-11","doi-asserted-by":"crossref","first-page":"2802","DOI":"10.1161\/STROKEAHA.113.001232","article-title":"Prospective, multicenter, single-arm study of mechanical thrombectomy using Solitaire Flow Restoration in acute ischemic stroke","volume":"44","author":"Pereira","year":"2013","journal-title":"Stroke"},{"key":"10.25259\/SNI_928_2024\/ref-12","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1136\/neurintsurg-2016-012533","article-title":"A comparison of acute vascular damage caused by ADAPT versus a stent retriever device after thrombectomy in acute ischemic stroke: A histological and ultrastructural study in an animal model","volume":"9","author":"Peschillo","year":"2017","journal-title":"J Neurointerv Surg"},{"key":"10.25259\/SNI_928_2024\/ref-13","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1161\/STROKEAHA.114.007494","article-title":"Endothelial trauma from mechanical thrombectomy in acute stroke: In vitro live-cell platform with animal validation","volume":"46","author":"Teng","year":"2015","journal-title":"Stroke"},{"key":"10.25259\/SNI_928_2024\/ref-14","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.wneu.2018.07.118","article-title":"Iatrogenic removal of the intima in the middle cerebral artery by a stent retriever: A report of two cases","volume":"118","author":"Yamaguchi","year":"2018","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/iatrogenic-dissection-on-atherosclerotic-stenosis-of-the-middle-cerebral-artery-caused-by-stent-retriever-thrombectomy-for-internal-carotid-artery-embolic-occlusion\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/iatrogenic-dissection-on-atherosclerotic-stenosis-of-the-middle-cerebral-artery-caused-by-stent-retriever-thrombectomy-for-internal-carotid-artery-embolic-occlusion\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T09:32:57Z","timestamp":1738920777000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/iatrogenic-dissection-on-atherosclerotic-stenosis-of-the-middle-cerebral-artery-caused-by-stent-retriever-thrombectomy-for-internal-carotid-artery-embolic-occlusion\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":14,"alternative-id":["10.25259\/SNI_928_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_928_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,7]]},"article-number":"41"}}