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Updated: Jul 7, 2026

Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging (MRI)
Published on: December 16, 2021
Iatrogenic arterial perforation during acute stroke interventions.
T N Nguyen1, S Lanthier, D Roy
1Department of Neurology, Boston University Medical Center, Boston, MA 02118, USA. thanh.nguyen@bmc.org
Arterial perforation during acute stroke intervention is serious. Retaining a microcatheter successfully sealed a perforation, leading to a good outcome for a stroke patient.
Area of Science:
- Interventional neurology
- Vascular neurosurgery
- Endovascular therapy
Background:
- Acute stroke intervention carries risks, including arterial perforation.
- Prompt recognition and management are crucial for preventing poor clinical outcomes.
Observation:
- A 66-year-old woman presented with acute left middle cerebral artery stroke.
- Microcatheter arterial perforation occurred during endovascular intervention.
Findings:
- The perforated microcatheter was intentionally retained to seal the arterial breach.
- This endovascular technique successfully managed the arterial perforation.
Implications:
- Retained microcatheter sealing offers a viable strategy for managing arterial perforation during stroke intervention.
- This approach can lead to favorable patient outcomes.
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