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Case Reports
. 2024 Nov 16;11(1):101683.
doi: 10.1016/j.jvscit.2024.101683. eCollection 2025 Feb.

Removal of microcatheter entrapped in the middle cerebral artery in a neonate via common carotid arteriotomy

Andreea Slavescu  1 , Fernando Picazo Pineda  1 , Joseph Hockley  2
Affiliations
Case Reports

Removal of microcatheter entrapped in the middle cerebral artery in a neonate via common carotid arteriotomy

Andreea Slavescu et al. J Vasc Surg Cases Innov Tech. .

Abstract

A 2-day-old neonate was referred to the vascular surgery service owing to concerns of limb perfusion after entrapment of a microcatheter in the middle cerebral artery. The catheter was inserted via the umbilical artery to treat a vein of Galen arteriovenous malformation. This catheter inadvertently became entrapped owing to device failure, was cut at the insertion site, and left in situ for 3 months. At this stage, the decision was made to remove the distal portion of the catheter via right common carotid arteriotomy. This intervention was straightforward, effective and safe, and the patient had no complications at 6 months.

Keywords: Carotid arteriotomy; Catheter entrapment; Endovascular embolisation; Vein of Galen arteriovenous malformation.

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Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Magnetic resonance angiography of vein of Galen arteriovenous malformations (VGAM) before embolization.
Fig 2
Fig 2
Radiograph of the entrapped catheter extending from the umbilical artery to the middle cerebral artery.
Fig 3
Fig 3
Longitudinal arteriotomy with catheter shown in situ not incorporated into vessel wall.
Fig 4
Fig 4
Computed tomography scan of the intracranial location of the retained portion of catheter after retrieval of the distal segment.
Fig 5
Fig 5
Radiograph of the retained segment of the catheter.
See this image and copyright information in PMC

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