Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature
In acute ischemic stroke patients with major intracranial vessel occlusion due to infective endocarditis, treatment modalities are not well established. A 40-year-old woman presented with acute stroke due to left middle cerebral artery occlusion. She was successfully treated with intra-arterial mech...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2014-09-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/ni-9-101.pdf |
| _version_ | 1797331799929520128 |
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| author | Jeong-Min Kim Ji-Su Jeon Yong-Won Kim Dong-Hun Kang Yang-Ha Hwang Yong-Sun Kim |
| author_facet | Jeong-Min Kim Ji-Su Jeon Yong-Won Kim Dong-Hun Kang Yang-Ha Hwang Yong-Sun Kim |
| author_sort | Jeong-Min Kim |
| collection | DOAJ |
| description | In acute ischemic stroke patients with major intracranial vessel occlusion due to infective endocarditis, treatment modalities are not well established. A 40-year-old woman presented with acute stroke due to left middle cerebral artery occlusion. She was successfully treated with intra-arterial mechanical thrombectomy, and the subsequent clinical outcome was favorable. Pathological analysis of the retrieved clots showed septic thrombi containing gram-positive cocci. Based on literature review and the present case regarding treatment strategies for patients with septic embolic stroke, pharmacological thrombolysis might increase the risk of hemorrhagic complications, which might alter clinical outcome. Therefore, we can consider intra-arterial mechanical thrombectomy as a first-line treatment option in patients with acute stroke resulting from infective endocarditis. |
| first_indexed | 2024-03-08T07:40:31Z |
| format | Article |
| id | doaj.art-e254cc7b81ee4be7aaf047ba53d9de35 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:40:31Z |
| publishDate | 2014-09-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-e254cc7b81ee4be7aaf047ba53d9de352024-02-02T17:29:16ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732014-09-019210110510.5469/neuroint.2014.9.2.101217Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the LiteratureJeong-Min Kim0Ji-Su Jeon1Yong-Won Kim2Dong-Hun Kang3Yang-Ha Hwang4Yong-Sun Kim5Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Radiology, Kyungpook National University Hospital, Daegu, Korea.Department of Neurology, Kyungpook National University Hospital, Daegu, Korea.Department of Radiology, Kyungpook National University Hospital, Daegu, Korea.In acute ischemic stroke patients with major intracranial vessel occlusion due to infective endocarditis, treatment modalities are not well established. A 40-year-old woman presented with acute stroke due to left middle cerebral artery occlusion. She was successfully treated with intra-arterial mechanical thrombectomy, and the subsequent clinical outcome was favorable. Pathological analysis of the retrieved clots showed septic thrombi containing gram-positive cocci. Based on literature review and the present case regarding treatment strategies for patients with septic embolic stroke, pharmacological thrombolysis might increase the risk of hemorrhagic complications, which might alter clinical outcome. Therefore, we can consider intra-arterial mechanical thrombectomy as a first-line treatment option in patients with acute stroke resulting from infective endocarditis.http://neurointervention.org/upload/pdf/ni-9-101.pdfmechanical thrombectomythrombolysisinfective endocarditisacute ischemic stroke |
| spellingShingle | Jeong-Min Kim Ji-Su Jeon Yong-Won Kim Dong-Hun Kang Yang-Ha Hwang Yong-Sun Kim Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature Neurointervention mechanical thrombectomy thrombolysis infective endocarditis acute ischemic stroke |
| title | Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature |
| title_full | Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature |
| title_fullStr | Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature |
| title_full_unstemmed | Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature |
| title_short | Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature |
| title_sort | forced arterial suction thrombectomy of septic embolic middle cerebral artery occlusion due to infective endocarditis an illustrative case and review of the literature |
| topic | mechanical thrombectomy thrombolysis infective endocarditis acute ischemic stroke |
| url | http://neurointervention.org/upload/pdf/ni-9-101.pdf |
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