Stroke Training and Awareness Resources (STARs)


Possible complications of thrombectomy

Possible complications of thrombectomy

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