Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2021; 9(20): 5668-5674
Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5668
Gelfoam embolization for distal, medium vessel injury during mechanical thrombectomy in acute stroke: A case report
Ji Yun Kang, Kyung Sik Yi, Sang-Hoon Cha, Chi-Hoon Choi, Yook Kim, Jisun Lee, Bum Sang Cho
Ji Yun Kang, Kyung Sik Yi, Sang-Hoon Cha, Chi-Hoon Choi, Yook Kim, Jisun Lee, Bum Sang Cho, Department of Radiology, Chungbuk National University Hospital, Cheongju 28644, South Korea
Sang-Hoon Cha, Chi-Hoon Choi, Jisun Lee, Bum Sang Cho, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju 28644, South Korea
Author contributions: Yi KS, Choi CH and Cha SH performed IA thrombectomy, conseptualized the literature and contributed to manuscript drafting; Kim Y adviced using embolic material during the procedure; Kang JY and Yi KS reviewed the literature and contributed to manuscript drafting; Cha SH and Choi CH reviewed the literature and supervised editing; Lee J and Cho BS analyzed and interpreted the imaging findings; Kang JY and Yi KS were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by the Research Grant of the Chungbuk National University Hospital in 2020.
Informed consent statement: Written informed consent was obtained from the patient for publication of clinical data and accompanying images.
Conflict-of-interest statement: None of the authors has any potential conflicts to disclose (financial, professional, or personal) that are relevant to the manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kyung Sik Yi, MD, PhD, Clinical Associate Professor, Department of Radiology, Chungbuk National University Hospital, 776, 1Sunhwan-ro, Seowon-gu, Cheongju 28644, South Korea. yiksyi@gmail.com
Received: March 5, 2021
Peer-review started: March 5, 2021
First decision: April 29, 2021
Revised: May 7, 2021
Accepted: May 15, 2021
Article in press: May 15, 2021
Published online: July 16, 2021
Core Tip

Core Tip: Arterial perforation has inevitably increased as endovascular treatments have become more common for intracranial large vessel occlusions, and even for distal, medium vessel occlusions (DMVOs). Perforation tends to occur particularly with DMVOs, increases mortality, and lowers the rate of good functional outcomes. The optimal rescue technique for vessel perforation during mechanical thrombectomy has not been established. This case report reviews the treatment strategy of rescue embolization for arterial perforation and presents the case of a patient treated with gelfoam embolization.