{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:51Z","timestamp":1786728651863,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Retained microcatheter after endovascular embolization of brain vascular malformation lesions poses serious risks. Long-term complications have been sparsely described in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>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 \u201ccomplications,\u201d \u201cendovascular interventions,\u201d \u201cretained catheter,\u201d and \u201cOnyx\u201d on PubMed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.370460","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:06:41Z","timestamp":1692850001000},"page":"135-139","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Delayed Complication of a Retained Microcatheter during Neurovascular Intervention Presenting as Limb Ischemia: A Case Report and Literature Review"],"prefix":"10.4103","volume":"71","author":[{"given":"Vijay Madhukar","family":"Mundhe","sequence":"first","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeraj","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Karapurkar","sequence":"additional","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gireesh","family":"Warawdekar","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narayan","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagdish","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Endovascular Neurosurgery, Breach Candy Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2,24]]},"reference":[{"key":"R1-20250613","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1227\/01.NEU.0000255473.60505.84","article-title":"Preoperative embolization of intracranial arteriovenous malformations with Onyx","volume":"61","author":"Weber","year":"2007","journal-title":"Neurosurgery"},{"key":"R2-20250613","doi-asserted-by":"crossref","first-page":"78","DOI":"10.3171\/2011.2.JNS09830","article-title":"Endovascular treatment of brain arteriovenous malformations with prolonged intranidal Onyx injection technique: Long-term results in 350 consecutive patients with completed endovascular treatment course-Clinical 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Case report","volume":"106","author":"Bing\u00f6l","year":"2007","journal-title":"J Neurosurg"},{"key":"R10-20250613","first-page":"371","article-title":"Endovascular treatment of intracranial arteriovenous malformations with Onyx: Technical aspects","volume":"28","author":"Weber","year":"2007","journal-title":"Am J Neuroradiol"},{"key":"R11-20250613","doi-asserted-by":"crossref","first-page":"235","DOI":"10.3174\/ajnr.A0817","article-title":"Endovascular treatment of intracranial dural arteriovenous fistulas with cortical venous drainage: New management using onyx","volume":"29","author":"Cognard","year":"2008","journal-title":"Am J Neuroradiol"},{"key":"R12-20250613","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1136\/jnis.2010.002733","article-title":"Microsurgical retrieval of an endovascular microcatheter trapped during Onyx embolization of a cerebral arteriovenous malformation","volume":"3","author":"Walcott","year":"2011","journal-title":"J Neurointerv Surg"},{"key":"R13-20250613","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1227\/NEU.0b013e3182648db6","article-title":"Safety and efficacy of onyx embolization for pediatric cranial and spinal vascular lesions and tumors","volume":"71","author":"Ashour","year":"2012","journal-title":"Neurosurgery"},{"key":"R14-20250613","doi-asserted-by":"crossref","first-page":"523","DOI":"10.4103\/0028-3886.121934","article-title":"Retrieval of a microcatheter from arteriovenous malformations after hemorrhage following Onyx embolization","volume":"61","author":"Pandey","year":"2013","journal-title":"Neurol India"},{"key":"R15-20250613","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1227\/NEU.0b013e318276b2c0","article-title":"Double arterial catheterization technique for embolization of brain arteriovenous malformations with onyx","volume":"72","author":"Renieri","year":"2013","journal-title":"Neurosurgery"},{"key":"R16-20250613","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s00062-014-0362-y","article-title":"Endovascular treatment of intracranial dural arteriovenous fistulas presenting with intracranial hemorrhage in 46 consecutive patients: With emphasis on transarterial embolization with Onyx","volume":"26","author":"Li","year":"2016","journal-title":"Clin Neuroradiol"},{"key":"R17-20250613","first-page":"37","article-title":"Occurrence and management strategies for catheter entrapment with Onyx liquid embolization","volume":"8","author":"Qureshi","year":"2015","journal-title":"J Vasc Interv Neurol"},{"key":"R18-20250613","first-page":"e1164","article-title":"Microsurgical removal of microcatheter in the middle cerebral artery during resection of an arteriovenous malformation resection","volume":"9","author":"Shazadeh Safavi","year":"2017","journal-title":"Cureus"},{"key":"R19-20250613","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1007\/s00381-014-2404-9","article-title":"Safety and efficacy using a detachable tip microcatheter in the embolization of pediatric arteriovenous malformations","volume":"30","author":"Altschul","year":"2014","journal-title":"Child's Nerv Syst"},{"key":"R20-20250613","first-page":"404","article-title":"Detachable-tip microcatheters for liquid embolization of brain arteriovenous malformations and fistulas: A United States single-center experience","volume":"11","author":"Herial","year":"2015","journal-title":"Clin Neurosurg"},{"issue":"Suppl 1","key":"R21-20250613","first-page":"ONSE89","article-title":"Monorail snare technique for the retrieval of an adherent microcatheter from an onyx cast: Technical case report","volume":"63","author":"Kelly","year":"2008","journal-title":"Neurosurgery"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.370460","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:29:52Z","timestamp":1786724992000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.370460"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.370460","relation":{},"ISSN":["0028-3886","1998-4022"],"issn-type":[{"value":"0028-3886","type":"print"},{"value":"1998-4022","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2021-05-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}