Forced Arterial Suction Thrombectomy of Septic Embolic Middle Cerebral Artery Occlusion Due to Infective Endocarditis: an Illustrative Case and Review of the Literature / 신경중재치료의학
Neurointervention
; : 101-105, 2014.
Article
Dans En
| WPRIM
| ID: wpr-730164
Responsable en Bibliothèque :
WPRO
ABSTRACT
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Aspiration (technique)
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Cocci à Gram positif
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Thrombectomie
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Accident vasculaire cérébral
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Infarctus du territoire de l'artère cérébrale moyenne
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Endocardite
Limites du sujet:
Adult
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Female
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Humans
langue:
En
Texte intégral:
Neurointervention
Année:
2014
Type:
Article