{"id":"c0bcb347-8e8d-46eb-a8d2-2300c668486a","slug":"thrombectomy-and-stenting-of-pseudoaneurysm-from-transcarotid-artery-revascularization","title":"Thrombectomy and stenting of pseudoaneurysm from transcarotid artery revascularization","authors":["Jason H Boulter","Michael F. Stiefel","Eyal Ben-Aire","Albert J. Schuette"],"abstract":"Background: Transcarotid artery revascularization (TCAR) is becoming an increasingly popular treatment of carotid stenosis. Despite this rapid adoption, little in the literature describes the associated complications of this procedure. Case Description: We report a case of a left M1 large-vessel occlusion following treatment of symptomatic, high-grade carotid stenosis with a TCAR procedure approximately three weeks earlier. The initial angiography demonstrated a pseudoaneurysm in the left common carotid artery at the site of TCAR access with a distal clot in the carotid stent. The clot within the stent was aspirated, and a mechanical thrombectomy was performed with a combination of a stent-retriever and aspiration catheter for thrombolysis in cerebral infarction 2B revascularization. Conclusion: The TCAR procedure offers a novel method for revascularization of carotid lesions; it does include its complications. While generally safe, access site complications such as pseudoaneurysms can always occur. Knowledge of this risk allows for appropriate surveillance and management should it occur.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/c0bcb347-8e8d-46eb-a8d2-2300c668486a/featured/hero-cropped-1781559595179.jpg","publishDate":"2024-04-12T00:00:00.000Z","doi":"10.25259/SNI_71_2024","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/04/12855/SNI-15-127.pdf"}