{"id":"1e14d3d2-bb7d-46a9-95b2-b5f3ef837c9b","slug":"mechanical-thrombectomy-for-occlusion-near-a-ruptured-intracranial-aneurysm-a-case-report","title":"Mechanical thrombectomy for occlusion near a ruptured intracranial aneurysm: A case report","authors":["Koji Hirata","Tomosato Yamazaki","Noriyuki Kato","Susumu Yasuda","Akira Matsumura"],"abstract":"Background: While recent randomized clinical trials have shown the efficacy of mechanical thrombectomy for acute large vessel anterior cerebral occlusion, cases in patients with a subarachnoid hemorrhage (SAH) were excluded from the study. Case Description: A 58-year-old man presented with a SAH as a result of a ruptured middle cerebral artery aneurysm. Coil embolization was performed, and a right intracranial angiography showed remnants of an aneurysmal neck. However, the following angiography also revealed a thromboembolic complication that occurred in the same territory as the ruptured aneurysm. The patient underwent a rescue mechanical thrombectomy under the working projection. We deployed a retrieval stent without covering the aneurysmal neck. The occluded vessel was recanalized without any hemorrhagic complication. Due to minimal intracerebral infarction, the patient had good outcomes. Conclusion: Mechanical thrombectomy is a useful option to retrieve a clot from an occluded intracranial vessel located near a ruptured aneurysm. Approaching the clot at the working projection is important to ensure safety in the setting of a ruptured aneurysm.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1e14d3d2-bb7d-46a9-95b2-b5f3ef837c9b/featured/hero-1781563447639.png","publishDate":"2020-05-23T00:00:00.000Z","doi":"10.25259/SNI_76_2020","categories":["General Neurosurgery","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/1e14d3d2-bb7d-46a9-95b2-b5f3ef837c9b/pdf"}