When do you think these complications are likely to become apparent?
Head
- Perforation of intracerebral artery causing serious bleeding
- Embolism into another artery causing a further ischaemic stroke
- Bleeding into the cerebral infarct due to reperfusion or thrombolysis
- Migration of the stentriever
Chest
- Aspiration pneumonia
- Pulmonary embolism
Abdomen
- Retroperitoneal bleed from high puncture
- Allergy or renal problems due to contrast injections
Groin
- Bleeding into groin from arterial puncture
Foot
- Loss of pulses indicating ischaemia of the foot
When do you think these complications are likely to become apparent?
During the procedure
Arterial perforation
Migration of stentriever
Anaesthetic complications
Within 24 hours
Bleeding into groin from arterial puncture
Shock due to unrecognised internal bleeding from high groin puncture
Ischaemic stroke in another territory
Haemorrhagic transformation of infarct
Allergy to contrast
Aspiration pneumonia
Later
Pulmonary embolism
Brain swelling
Iain has a thrombectomy
Management of the puncture…