Polytetrafluoroethylene coating fragments during neuroendovascular therapy: An analysis of two damaged microguidewires

Rasmus Holmboe Dahl, René Wugt Larsen, Esben Thormann, Goetz Benndorf*

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

Cerebral polymer coating embolism from intravascular devices represents a potentially serious complication to endovascular therapy (EVT). We report two cases of neuroendovascular treatment where filamentous polymer fragments were noted possibly due to damage of the surface coating during manipulation and backloading of microguidewires. As the exact origin of the debris was initially not known, microguidewires and fragments were examined with light microscopy, stereomicroscopy, scanning electron microscopy and attenuated-total-reflection Fourier transform infrared spectroscopy. Fragments consisted of polytetrafluoroethylene and silicone oil stemming from the proximal shaft of a standard microguidewire. To our knowledge, this is the first report of polytetrafluoroethylene coating fragments created during EVT. Future studies should assess the mechanism of polymer coating delamination and its potential consequences during EVT including inadvertent fragment migration into the cerebral circulation.

OriginalsprogEngelsk
Sider (fra-til)16-21
Antal sider6
TidsskriftInterventional Neuroradiology
Vol/bind28
Udgave nummer1
Tidlig onlinedato26 maj 2021
DOI
StatusUdgivet - feb. 2022

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